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Pallav Deka, PHD,AGACNP-BC
Nurse Practitioner in Holt, Michigan
NPI 1861926636

Pallav Deka is a Nurse Practitioner based in East Lansing, MI. Pallav Deka practices in Holt, MI and has the professional credentials of PHD,AGACNP-BC. The NPI Number for Pallav Deka is 1861926636 and holds a License No. 4704350380 (Michigan).

The current practice location address for Pallav Deka is 5091 Willoughby Rd, Holt, MI and can be reached out via phone at 517-694-2144 and via fax at 517-694-7469.

Location: 5091 Willoughby Rd, Holt, MI, 48824-7015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861926636
Provider Name
Pallav Deka
Credential
PHD,AGACNP-BC
Provider Entity Type
Individual
Gender
Male
Address
5091 Willoughby Rd, Holt, MI, 48824-7015
Phone Number
517-694-2144
Fax Number
517-694-7469
Provider Enumeration Date
04/18/2017
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
5091 Willoughby Rd
City
Holt
State
Michigan
Zip
48842-1054
Phone Number
517-694-2144
Fax Number
517-694-7469
person
Provider Business Mailing Address Details
Address
5091 Willoughby Rd
City
Holt
State
Michigan
Zip
48842-1054
Phone Number
517-694-2144
Fax Number
517-694-7469
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704350380 (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
Gerontology
Taxonomy
363LG0600X
License No.
4704350380 (Michigan)
Definition
Definition to come...
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