Healthcare Provider Details

I. General information

NPI: 1922445030
Provider Name (Legal Business Name): ERIC BRAMAN RN, QMRP, QMHP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2013
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E WARWICK DR
ALMA MI
48801-1010
US

IV. Provider business mailing address

301 S CRAPO ST SUITE 200
MT PLEASANT MI
48858-2941
US

V. Phone/Fax

Practice location:
  • Phone: 989-463-2779
  • Fax: 989-463-2064
Mailing address:
  • Phone: 989-772-5930
  • Fax: 989-775-7701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704288249
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: