Aisha Braziel
Individual provider Active NPI Licensed Practical Nurse · Eastpointe, MI
NPI 1477054344 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1477054344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703101023 (MI)
- Practice address
- 24525 Ridgecroft Ave
Eastpointe, MI 48021-3462 - Phone
- (313) 215-9700
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703101023 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703101023 | MI | Yes |
Addresses
Primary practice location
24525 Ridgecroft Ave
Eastpointe, MI 48021-3462
Mailing address
24525 Ridgecroft Ave
Eastpointe, MI 48021-3462
Other providers in Eastpointe, MI
- Jacquelynn Marie Boyle
- Paige Bozeman
- Ana Maria Brajak
- Susan Brandel
- Mary Ellen Brayton
- Brighter Day Counseling Services
- Katarzyna Noelle Brock
- Shayna Marie Brown-Washington
- Keyonia Regina Brown
- Monique L Brown
All providers in Eastpointe, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.