Individual
ALISSA BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
19725 ALLEN RD, STE 102, BROWNSTOWN TWP, MI 48183-1090
(734) 479-7246
(734) 479-0214
Mailing address
19725 ALLEN RD, STE 102, BROWNSTOWN TWP, MI 48183-1090
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704286259
MI
Other
Enumeration date
11/12/2014
Last updated
05/29/2017
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