Bria Gwisdalla
Nurse Practitioner, Pediatrics in Royal Oak, MI. Individual provider (NPI-1).
NPI number1003729674
StatusActive
Last updated in NPPESSep 24, 2026
Details
- NPI
- 1003729674
- Entity type
- Individual (NPI-1)
- Name
- Bria Gwisdalla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2026
- Certification date
- Sep 24, 2026
- Last updated
- Sep 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 4704370293 | MI | Yes |
Practice location
3601 W 13 Mile RdRoyal Oak, MI 48073-6712
Phone 248-898-5000
Mailing address
1358 Potomac DrRochester Hills, MI 48306-3841
Phone 248-720-0960
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