Healthcare Provider Details

I. General information

NPI: 1073432670
Provider Name (Legal Business Name): BREE ANNA OLIVER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 JOHNSON ST
ALPENA MI
49707-1434
US

IV. Provider business mailing address

6277 CATHRO RD
ALPENA MI
49707-9728
US

V. Phone/Fax

Practice location:
  • Phone: 989-356-2161
  • Fax:
Mailing address:
  • Phone: 989-356-2161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number4704450701
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: