Healthcare Provider Details

I. General information

NPI: 1982228342
Provider Name (Legal Business Name): BRITTANY NICHOLE ANDERSON FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 SAINT CLAIR RIVER DR
ALGONAC MI
48001-1802
US

IV. Provider business mailing address

555 SAINT CLAIR RIVER DR
ALGONAC MI
48001-1802
US

V. Phone/Fax

Practice location:
  • Phone: 810-794-4917
  • Fax: 810-794-7645
Mailing address:
  • Phone: 810-794-4917
  • Fax: 810-794-7645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704316601
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: