Healthcare Provider Details

I. General information

NPI: 1912382532
Provider Name (Legal Business Name): LINDSAY ANNE BROSSY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY ANNE PLUMMER FNP-BC.

II. Dates (important events)

Enumeration Date: 07/24/2015
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8906 COMMERCE RD UNIT 5
COMMERCE TWP MI
48382
US

IV. Provider business mailing address

29237 NEW BRADFORD DR
FARMINGTON HILLS MI
48331-2701
US

V. Phone/Fax

Practice location:
  • Phone: 248-363-5555
  • Fax: 248-926-9112
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704284661
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: