Individual
BRIAN NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33463 CINDY ST, LIVONIA, MI 48150-2601
(734) 552-1435
Mailing address
33463 CINDY ST, LIVONIA, MI 48150-2601
(734) 552-1435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704323583
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704323583
MI
Other
Enumeration date
07/10/2021
Last updated
10/28/2022
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