Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henry Ford Health Providence Hospital

Organization Diabetes Educator Registered Nurse · NPI 1922063213

Henry Ford Health Providence Hospital is a Diabetes Educator Registered Nurse in Southfield, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-3000
Fax: (248) 849-2244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Diabetes Educator Registered Nurse Taxonomy 163WD0400X
Nursing Care Agency Taxonomy 251J00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1922063213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Cebalt — Director · (313) 874-6764
Other names Henry Ford Providence Hospital; Ph Internal Medicine/Providence Hospital And Medical Centers Inc
NPI enumeratedApril 19, 2006
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing addressPo Box 670884, Detroit, MI 48267-0884

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