Provider Demographics
NPI:1376373001
Name:PHILEMON, DENELLE MARIE
Entity type:Individual
Prefix:
First Name:DENELLE
Middle Name:MARIE
Last Name:PHILEMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3746 E CHANDLER ST
Mailing Address - Street 2:
Mailing Address - City:CARSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48419-9101
Mailing Address - Country:US
Mailing Address - Phone:810-525-1296
Mailing Address - Fax:
Practice Address - Street 1:3746 E CHANDLER ST
Practice Address - Street 2:
Practice Address - City:CARSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:48419-9101
Practice Address - Country:US
Practice Address - Phone:810-525-1296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula