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Mrs. Doresea L Lewis-bogan, APRN,BC
Psychiatric/Mental Health Nurse Practitioner in Detroit, Michigan
NPI 1124218466

Doresea L Lewis-bogan is a Psychiatric/Mental Health Nurse Practitioner based in Detroit, MI and is specialized in Psychiatric/Mental Health. Doresea L Lewis-bogan practices in Detroit, MI and has the professional credentials of APRN,BC. The NPI Number for Doresea L Lewis-bogan is 1124218466 and holds a License No. 4704241492 (Michigan).

The current practice location address for Doresea L Lewis-bogan is 6309 Mack Ave, Detroit, MI and can be reached out via phone at 313-331-3435. You can also correspond with Doresea L Lewis-bogan through the mailing address at 4340 LESLIE ST, DETROIT, MI - 48238-3245 (mailing address contact number: 734-502-7308).

Location: 6309 Mack Ave, Detroit, MI, 48238-3245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124218466
Provider Name
Doresea L Lewis-bogan
Credential
APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
6309 Mack Ave, Detroit, MI, 48238-3245
Phone Number
313-331-3435
Fax Number
Provider Enumeration Date
08/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124218466 05 MI
institution
Provider Business Practice Location Address Details
Address
6309 Mack Ave
City
Detroit
State
Michigan
Zip
48207-2302
Phone Number
313-331-3435
Fax Number
person
Provider Business Mailing Address Details
Address
6309 Mack Ave
City
Detroit
State
Michigan
Zip
48207-2302
Phone Number
313-331-3435
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704241492 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
4704241492 (Michigan)
Definition
Definition to come...
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