Erika Breault, CHW
Community Health Worker in Gladwin, MI. Individual provider (NPI-1).
NPI number1962272575
StatusActive
Last updated in NPPESJan 4, 2024
Details
- NPI
- 1962272575
- Entity type
- Individual (NPI-1)
- Name
- Erika Breault
- Credential
- CHW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2024
- Certification date
- Jan 3, 2024
- Last updated
- Jan 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | MI | Yes |
Practice location
103 N Bowery StreetGladwin, Mi 48624
Gladwin, MI 48624
Phone 989-430-8249 · Fax 989-426-6952
Mailing address
1955 Kern RdGladwin, MI 48624-8008
Phone 989-426-9431 · Fax 989-426-6952
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