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Mrs. Raeann Lynn Brodbeck, APRN
Family Nurse Practitioner in Ottawa Lake, Michigan
NPI 1679941561

Raeann Lynn Brodbeck is a Family Nurse Practitioner based in Ottawa Lake, MI and is specialized in Family. Raeann Lynn Brodbeck practices in Ottawa Lake, MI and has the professional credentials of APRN. The NPI Number for Raeann Lynn Brodbeck is 1679941561 and holds a License No. COA.18416-NP (Michigan).

The current practice location address for Raeann Lynn Brodbeck is 8900 Yankee Rd, Ottawa Lake, MI and can be reached out via phone at 734-888-1135.

Location: 8900 Yankee Rd, Ottawa Lake, MI, 49267-9554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679941561
Provider Name
Raeann Lynn Brodbeck
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
8900 Yankee Rd, Ottawa Lake, MI, 49267-9554
Phone Number
734-888-1135
Fax Number
Provider Enumeration Date
09/09/2015
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
162645 05 OH
institution
Provider Business Practice Location Address Details
Address
8900 Yankee Rd
City
Ottawa Lake
State
Michigan
Zip
49267-9554
Phone Number
734-888-1135
Fax Number
person
Provider Business Mailing Address Details
Address
8900 Yankee Rd
City
Ottawa Lake
State
Michigan
Zip
49267-9554
Phone Number
734-888-1135
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA.18416-NP (Ohio)
Definition
Definition to come...
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