KIMBERLE S DELLER MS APRN-BC NPI 1194994186

NPI Information

NPI: 1194994186
Provider Name: KIMBERLE S DELLER, MS APRN-BC
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
18181 OAKWOOD BLVD
SUITE 208
DEARBORN, MI
ZIP 48124
Phone: (313) 271-5565
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Kimberle S Deller, MS APRN-BC is a critical care medicine nurse practitioner in Dearborn, MI. Kimberle S Deller, MS APRN-BC NPI is 1194994186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18181 OAKWOOD BLVD
SUITE 208
DEARBORN, MI
ZIP 48124-032
Phone: (313) 271-5565

The enumeration date for this NPI number is 2/25/2008 and was last updated on 2/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC0200X	Nurse Practitioner	Critical Care Medicine	4704113984	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4704113984	OTHER	MICHIGAN	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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