Individual
ASHLEY IMBRUNNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
20952 E 12 MILE RD # 101, SAINT CLAIR SHORES, MI 48081-3200
(586) 498-3550
Mailing address
27302 PERRY ST, ROSEVILLE, MI 48066-2743
(586) 943-1891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19183080727
MI
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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