Provider Demographics
NPI:1538126222
Name:CARY, DEBORAH A (CNM, CFNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:CARY
Suffix:
Gender:F
Credentials:CNM, CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E WARWICK DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-1083
Mailing Address - Country:US
Mailing Address - Phone:989-466-5486
Mailing Address - Fax:989-466-2486
Practice Address - Street 1:315 E WARWICK DR
Practice Address - Street 2:SUITE D
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1083
Practice Address - Country:US
Practice Address - Phone:989-466-5486
Practice Address - Fax:989-466-5023
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704102871363L00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4208704690OtherBCBSM
MI500002267OtherMEDICARE RAILROAD
MI104345615Medicaid
MI103354093Medicaid
MI5008708040OtherBCBSM
MI200000005709OtherPHP COMMERCIAL
MI01006016OtherHEALTHPLUS
MIP33470005Medicare UPIN
MIB9611129Medicare PIN
MIM17670022Medicare PIN
MI103354093Medicaid
MIM17670023Medicare PIN