Individual provider · Type 1 NPI
Pallav Deka, PhD, AGACNP-BC
Nurse Practitioner · Holt, MI
Practice location
5091 Willoughby Rd
Holt, MI 48842-1054
Fax (517) 694-7469
Mailing address
804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704350380 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704350380 (MI) |
Nurse Practitioner: (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 wit…
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About NPI 1861926636
Pallav Deka, PhD, AGACNP-BC's National Provider Identifier is 1861926636, issued on Apr 18, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Holt, MI. The record was last updated on Aug 23, 2024.