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

TaxonomyCodeLicense
Primary Care Clinic/Center 261QP2300X4704274231 (MI)
Gerontology Nurse Practitioner Primary 363LG0600X4704274231 (MI)
General Acute Care Hospital 282N00000X4704274231 (MI)

Gerontology Nurse Practitioner: Definition to come...

2 other providers at this address

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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.