Individual
RAE ANN BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2864 ASHMUN ST, SAULT TRIBAL HEALTH CENTER, SAULT SAINTE MARIE, MI 49783
(906) 632-5200
(906) 632-5276
Mailing address
2864 ASHMUN ST, SAULT SAINTE MARIE, MI 49783
(906) 632-5200
(906) 632-5276
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704186346
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4285375
—
MI
01
—
500A710160
BCBS
MI
Enumeration date
05/08/2006
Last updated
04/29/2008
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