Individual provider · NPI-1
Arianna Christine Braybrooks, CPNP-AC
Nurse Practitioner, Pediatrics · Grand Rapids, MI
NPI number1750898771
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1750898771
- Entity type
- Individual (NPI-1)
- Name
- Arianna Christine Braybrooks
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2017
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 4704292953 | MI | Yes |
Other names
- Arianna Christine Davis (Former Name)
Practice location
100 Michigan St Ne # Mc117Grand Rapids, MI 49503-2560
Phone 616-267-0118
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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