Individual
BRENDA ALYCE MCCRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-6475
Mailing address
3030 JASMINE ST, SCHOOLCRAFT, MI 49087-9171
(269) 806-2695
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704242835NSA180X8
MI
Other
Enumeration date
10/08/2018
Last updated
11/27/2023
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