Individual provider · Type 1 NPI
Bria Gwisdalla
Pediatric Nurse Practitioner · Royal Oak, MI
NPI number
1003729674
Active
Practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
1358 Potomac Dr
Rochester Hills, MI 48306-3841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704370293 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1003729674
Bria Gwisdalla's National Provider Identifier is 1003729674, issued on Sep 24, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Royal Oak, MI. The record was last updated on Sep 24, 2026.