Individual provider · Type 1 NPI
Alicia Anne Prucknic, RN, BSN, CCM
Psychiatric/Mental Health Nurse Practitioner · Brownstown Township, MI
NPI number
1336814599
Active
Practice location
23772 West Rd # 262
Brownstown Township, MI 48183-3050
Fax (734) 941-3264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 4704244622 (MI) |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 4704244622 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704244622 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Brownstown Township
About NPI 1336814599
Alicia Anne Prucknic, RN, BSN, CCM's National Provider Identifier is 1336814599, issued on Aug 10, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brownstown Township, MI. The record was last updated on Feb 13, 2025.