Provider Demographics
NPI:1568080869
Name:DEWEY, AUBREY MICHELLE (FNP-BC, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:AUBREY
Middle Name:MICHELLE
Last Name:DEWEY
Suffix:
Gender:F
Credentials:FNP-BC, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49394 NICHOLETTE
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:MI
Mailing Address - Zip Code:48317-2282
Mailing Address - Country:US
Mailing Address - Phone:910-333-2225
Mailing Address - Fax:
Practice Address - Street 1:49394 NICHOLETTE
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:MI
Practice Address - Zip Code:48317-2282
Practice Address - Country:US
Practice Address - Phone:910-333-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704343614163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice