Debra K Provoast is a Family Nurse Practitioner based in Hale, MI and is specialized in Family. Debra K Provoast practices in Hale, MI and has the professional credentials of NP. The NPI Number for Debra K Provoast is 1033107271 and holds a License No. 4704173663 (Michigan).
The current practice location address for Debra K Provoast is 3190 Northridge Drive, Hale, MI and can be reached out via phone at 989-728-6000 and via fax at 989-728-6003.
Identifier | Type | State | Issuer |
---|---|---|---|
DP173663 | 01 | MI | LICENSE |
105235126 | 05 | MI | |
500C510200 | 01 | MI | BCBS |
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