Brandie Ann Fridley, PMHNP
Nurse Practitioner, Psych/Mental Health in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1124738596
StatusActive
Last updated in NPPESNov 28, 2022
Details
- NPI
- 1124738596
- Entity type
- Individual (NPI-1)
- Name
- Brandie Ann Fridley
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2022
- Certification date
- Nov 28, 2022
- Last updated
- Nov 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 4704327358 | MI | Yes |
Practice location
117 W Paterson StKalamazoo, MI 49007-2557
Phone 269-349-2641
Mailing address
117 W Paterson StKalamazoo, MI 49007-2557
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