Individual provider · Type 1 NPI
Ashley Imbrunnone, FNP-BC
Family Nurse Practitioner · St. Clair Shores, MI
NPI number
1376194597
Active
Practice location
20952 E 12 Mile Rd # 101
St. Clair Shores, MI 48081-3200
Mailing address
27302 Perry St
Roseville, MI 48066-2743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 19183080727 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376194597
Ashley Imbrunnone, FNP-BC's National Provider Identifier is 1376194597, issued on Sep 28, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Sep 28, 2019.