Healthcare Provider Details

I. General information

NPI: 1063016848
Provider Name (Legal Business Name): MISS AUBRIE FRANZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50258 BOWER DR
CHESTERFIELD MI
48047-1809
US

IV. Provider business mailing address

32100 TELEGRAPH RD STE 205
BINGHAM FARMS MI
48025-2454
US

V. Phone/Fax

Practice location:
  • Phone: 586-354-4894
  • Fax:
Mailing address:
  • Phone: 248-712-4266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: