Individual provider · Type 1 NPI
Vincent Deciantis, NP-C
Gerontology Nurse Practitioner · Bingham Farms, MI
NPI number
1861867889
Active
Practice location
30600 Telegraph Rd Ste 1160
Bingham Farms, MI 48025-4531
Fax (888) 926-1121
Mailing address
7240 Chase Oaks Blvd
Plano, TX 75025-5901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 4704274231 (MI) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704274231 (MI) |
| General Acute Care Hospital | 282N00000X | 4704274231 (MI) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
Other gerontology nurse practitioner providers in Bingham Farms
About NPI 1861867889
Vincent Deciantis, NP-C's National Provider Identifier is 1861867889, issued on Dec 2, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bingham Farms, MI. The record was last updated on Jun 18, 2026.