Individual
ANGELA MARIE BRANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5717 OAKLAND DR, PORTAGE, MI 49024
(269) 323-4473
Mailing address
5717 OAKLAND DR, PORTAGE, MI 49024-1116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704290807
MI
Other
Enumeration date
05/01/2018
Last updated
05/21/2018
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