Alexandra Renee Deborde, RD is a
Dietitian, Registered based in Southgate, Michigan. Alexandra Renee Deborde is licensed to practice in * (Not Available) (license number ) and her current practice location is
12050 Devoe St, Southgate, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 497-7794.
NPI number for Alexandra Renee Deborde is 1447896931 and her current mailing address is 12050 Devoe St, Southgate, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447896931.
Healthcare Provider's Profile
Full Name | Alexandra Renee Deborde |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 12050 Devoe St, Southgate, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447896931
- Provider Enumeration Date: 11/20/2019
- Last Update Date: 11/20/2019
Medical Identifiers
Medical identifiers for Alexandra Renee Deborde such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447896931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexandra Renee Deborde is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexandra Renee Deborde, RD 12050 Devoe St, Southgate, MI 48195-2338 Ph: (734) 497-7794 | Alexandra Renee Deborde, RD 12050 Devoe St, Southgate, MI 48195-2338 Ph: (734) 497-7794 |
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