Doctor Name: | SARAH D BRINCEFIELD |
NPI Number: | 1265788749 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 4704291880 |
Business Practice Address: | 295 Maple St Suite 202 Tawas City, MI - 487639352 |
Business Phone Number: | 9893626108 |
Business Fax Number: | 9893620161 |
Mailing Address: | Po Box 779, TAWAS CITY |
State: | MI |
Postal Code: | 487640779 |
Phone Number: | 9893626108 |
Fax Number: | 9893620161 |
NPI Enumeration Date: | 08/02/2012 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704291880 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |