Individual
ERICKA RENEE BRUNSON-GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 2N FLOOR TAUBMAN CENTER RECP G, ANN ARBOR, MI 48109-5338
(734) 936-7010
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704219130
MI
363LA2100X
Acute Care Nurse Practitioner
4704219130
MI
Other
Enumeration date
03/22/2016
Last updated
12/06/2018
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