Provider Demographics
NPI:1467678664
Name:MAGELI, DEBORAH S (RN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:S
Last Name:MAGELI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:S
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10238 N JENNINGS RD
Mailing Address - Street 2:
Mailing Address - City:CLIO
Mailing Address - State:MI
Mailing Address - Zip Code:48420-1900
Mailing Address - Country:US
Mailing Address - Phone:810-257-3724
Mailing Address - Fax:810-257-3731
Practice Address - Street 1:420 W 5TH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2445
Practice Address - Country:US
Practice Address - Phone:810-257-3724
Practice Address - Fax:810-257-3731
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704155895163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health