Individual
BRANDI CHANTELL MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-0450
Mailing address
16781 FIELDING ST # SR, DETROIT, MI 48219-3376
(313) 828-8519
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704265168
MI
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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