Individual
REMI LYNN BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6400
Mailing address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704294792
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704294792
MI
Other
Enumeration date
09/22/2020
Last updated
04/17/2026
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