Healthcare Provider Details

I. General information

NPI: 1245962299
Provider Name (Legal Business Name): BRIANNA FRANCES BRAND PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28625 NORTHWESTERN HWY
SOUTHFIELD MI
48034-1828
US

IV. Provider business mailing address

2476 OUR LAND ACRES
MILFORD MI
48381-2592
US

V. Phone/Fax

Practice location:
  • Phone: 248-835-5064
  • Fax: 248-835-5064
Mailing address:
  • Phone: 248-924-0199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number4704354404
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number4704354404
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: