Healthcare Provider Details

I. General information

NPI: 1154571875
Provider Name (Legal Business Name): CINDY LEE REICHERT-BROOKS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 N SHIAWASSEE ST STE C
CORUNNA MI
48817-1444
US

IV. Provider business mailing address

211 N. SHIAWASSEE ST. SUITE C
CORUNNA MI
48817
US

V. Phone/Fax

Practice location:
  • Phone: 989-720-0211
  • Fax: 989-899-7235
Mailing address:
  • Phone: 989-720-0211
  • Fax: 989-899-7235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704244100
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: