Individual provider · Type 1 NPI
Dedra Delane Ford, NP-C
Family Nurse Practitioner · Southfield, MI
NPI number
1649880329
Active
Practice location
22250 Providence Dr Ste 202
Southfield, MI 48075-6210
Fax (248) 849-7401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704286031 (MI) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1649880329
Dedra Delane Ford, NP-C's National Provider Identifier is 1649880329, issued on Aug 6, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southfield, MI. The record was last updated on Jan 13, 2021.