Individual
MONICA BRANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(800) 653-6568
Mailing address
23030 RADCLIFT ST, OAK PARK, MI 48237-2419
(313) 282-7338
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704240192
MI
Other
Enumeration date
04/11/2019
Last updated
11/05/2020
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