Individual
AMBER BRISSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
123 LANSING ST STE 2, CHARLOTTE, MI 48813-1696
(517) 543-9500
Mailing address
123 LANSING ST STE 3B, CHARLOTTE, MI 48813-1696
(517) 541-5954
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704265626
MI
363LF0000X
Family Nurse Practitioner
Primary
4704265626NSA18445
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704265626
RN SPECIALTY CERTIFICATION NP
MI
Enumeration date
04/12/2018
Last updated
10/02/2018
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