Individual provider · Type 1 NPI

Deborah Jane Collier-Barstad, M.S.N.

Pediatric Nurse Practitioner · Southgate, MI

NPI number 1114064698 Active

Practice location

15255 Northline Rd
Southgate, MI 48195-2487

Call (734) 285-3090 Map

Fax (734) 285-3095

Mailing address

15753 Promenade Ave
Allen Park, MI 48101-1196

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704158669 (MI)

Pediatric Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1114064698

Deborah Jane Collier-Barstad, M.S.N.'s National Provider Identifier is 1114064698, issued on Jan 31, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Southgate, MI. The record was last updated on Jul 9, 2007.