person
Shannon Kay Brasil, NP
Adult Health Nurse Practitioner in Lake Orion, Michigan
NPI 1528217833

Shannon Kay Brasil is an Adult Health Nurse Practitioner based in Birmingham, MI and is specialized in Adult Health. Shannon Kay Brasil practices in Lake Orion, MI and has the professional credentials of NP. The NPI Number for Shannon Kay Brasil is 1528217833 and holds a License No. 4704180713 (Michigan).

The current practice location address for Shannon Kay Brasil is 1428 S Lapeer Rd, Lake Orion, MI and can be reached out via phone at 248-693-0543 and via fax at 248-630-4301. You can also correspond with Shannon Kay Brasil through the mailing address at PO BOX 2137, BIRMINGHAM, MI - 48012-2137 (mailing address contact number: 248-693-0543).

Location: 1428 S Lapeer Rd, Lake Orion, MI, 48012-2137
person
Provider Profile Details
NPI Number
1528217833
Provider Name
Shannon Kay Brasil
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1428 S Lapeer Rd, Lake Orion, MI, 48012-2137
Phone Number
248-693-0543
Fax Number
248-630-4301
Provider Enumeration Date
09/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1528217833 01 MI NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
1428 S Lapeer Rd
City
State
Zip
48360
Phone Number
248-693-0543
Fax Number
248-630-4301
person
Provider Business Mailing Address Details
Address
Po Box 2137
City
State
Zip
48012-2137
Phone Number
248-693-0543
Fax Number
248-630-4301
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
4704180713 (Michigan)
Definition
Definition to come...
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