Individual
BRANDA ELIZABETH PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BSN, RN
Contact information
Practice address
434 WILDWOOD AVE, JACKSON, MI 49201-1148
(517) 435-9352
Mailing address
PO BOX 732, MICHIGAN CENTER, MI 49254-0732
(254) 535-6735
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163W00000X
Registered Nurse
Primary
4704242044
MI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
4704242044
MI
163WC1500X
Community Health Registered Nurse
4704242044
MI
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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