Individual
MRS. BRENDA NUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
288 JACQUALYN DR, LAPEER, MI 48446-4134
(810) 338-5341
Mailing address
288 JACQUALYN DR, LAPEER, MI 48446-4134
(810) 338-5341
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703089631
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703089631
STATE LICENSE
MI
Enumeration date
12/03/2013
Last updated
12/03/2013
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