Individual
ALAN BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
5715 BELLA ROSA BLVD STE 200, CLARKSTON, MI 48348-4776
(734) 771-5996
Mailing address
3169 PRIDHAM ST, KEEGO HARBOR, MI 48320-1369
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704375505
MI
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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