Individual
BRENDA BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 346-8200
Mailing address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 346-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704178193
MI
Other
Enumeration date
03/14/2017
Last updated
06/15/2017
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