Provider Demographics
NPI:1952159964
Name:FLINT MEDICAL CENTER & URGENT CARE
Entity Type:Organization
Organization Name:FLINT MEDICAL CENTER & URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER /FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:DEOSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:810-771-8839
Mailing Address - Street 1:9208 PINEHURST LN
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-2624
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9208 PINEHURST LN
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-2624
Practice Address - Country:US
Practice Address - Phone:810-771-8839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty