Individual
LAUREN BRUDENELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP-BC
Contact information
Practice address
37637 FIVE MILE RD, LIVONIA, MI 48154-1543
(734) 464-0887
Mailing address
37637 FIVE MILE RD, LIVONIA, MI 48154-1543
(734) 464-0887
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704259764
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704259764
MI
Other
Enumeration date
10/03/2023
Last updated
02/11/2025
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