person
Dedra Delane Ford, NP-C
Family Nurse Practitioner in Southfield, Michigan
NPI 1649880329

Dedra Delane Ford is a Family Nurse Practitioner based in Southfield, MI and is specialized in Family. Dedra Delane Ford practices in Southfield, MI and has the professional credentials of NP-C. The NPI Number for Dedra Delane Ford is 1649880329 and holds a License No. 4704286031 (Michigan).

The current practice location address for Dedra Delane Ford is 22250 Providence Dr Ste 202, Southfield, MI and can be reached out via phone at 248-849-7400 and via fax at 248-849-7401. You can also correspond with Dedra Delane Ford through the mailing address at 22250 PROVIDENCE DR STE 202, SOUTHFIELD, MI - 48075-6210 (mailing address contact number: 248-849-7400).

Location: 22250 Providence Dr Ste 202, Southfield, MI, 48075-6210
person
Provider Profile Details
NPI Number
1649880329
Provider Name
Dedra Delane Ford
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
22250 Providence Dr Ste 202, Southfield, MI, 48075-6210
Phone Number
248-849-7400
Fax Number
248-849-7401
Provider Enumeration Date
08/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr Ste 202
City
State
Zip
48075-6210
Phone Number
248-849-7400
Fax Number
248-849-7401
person
Provider Business Mailing Address Details
Address
22250 Providence Dr Ste 202
City
State
Zip
48075-6210
Phone Number
248-849-7400
Fax Number
248-849-7401
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704286031 (Michigan)
Definition
Definition to come...
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