Healthcare Provider Details

I. General information

NPI: 1093276008
Provider Name (Legal Business Name): BRITTANY HOLLEY SASSER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2019
Last Update Date: 05/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 E MICHIGAN AVE
LANSING MI
48912-1811
US

IV. Provider business mailing address

3434 CORWIN RD APT 612
WILLIAMSTON MI
48895-9712
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-1000
  • Fax:
Mailing address:
  • Phone: 850-206-7183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704295869
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: