Individual provider · Type 1 NPI
Charissa Alice Bredow-Shawcross, NP
Adult Health Nurse Practitioner · Detroit, MI
NPI number
1902121361
Active
Practice location
18917 Joy Rd
Detroit, MI 48228-3050
Fax (313) 581-7793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704115714 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1902121361
Charissa Alice Bredow-Shawcross, NP's National Provider Identifier is 1902121361, issued on Mar 29, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Detroit, MI. The record was last updated on Aug 5, 2016.