Individual
MICHELLE MARIE BRILEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
14700 MANZANITA PARK RD, BEAUMONT, CA 92223
(951) 845-3155
Mailing address
39000 BOB HOPE DR, ELCCC - 2ND FLOOR ATTN: SCOTT FITZGERALD, RANCHO MIRAGE, CA 92270-3221
(760) 773-1451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95000404
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95000404
CA
Other
Enumeration date
02/23/2014
Last updated
07/12/2018
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