Healthcare Provider Details

I. General information

NPI: 1093119588
Provider Name (Legal Business Name): BRANDEE PATTERSON NURSING ASSITANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2014
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55520 WHITNEY CT
SHELBY TOWNSHIP MI
48315-6668
US

IV. Provider business mailing address

55520 WHITNEY CT
SHELBY TOWNSHIP MI
48315-6668
US

V. Phone/Fax

Practice location:
  • Phone: 586-265-0252
  • Fax:
Mailing address:
  • Phone: 586-265-0252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number230009783410504
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: