| Doctor Name: | CAROL ANN MCBRATNIE |
| NPI Number: | 1184963639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 4704265251 |
| Business Practice Address: | 5498 109th Ave Pullman, MI - 494509631 |
| Business Phone Number: | 2692366330 |
| Business Fax Number: | 2692365411 |
| Mailing Address: | 1130 Larkmoor Blvd, BERKLEY |
| State: | MI |
| Postal Code: | 480721906 |
| Phone Number: | 2485465945 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2013 |
| NPI Last Update Date: | 06/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4704265251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |