Individual
MRS. BREANNA TAURENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
18001 E 10 MILE RD, ROSEVILLE, MI 48066-3803
(734) 934-4906
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
470428681
MI
Other
Enumeration date
04/10/2015
Last updated
07/06/2016
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