Brisboe, Laura M

Brisboe, Laura M is an individual health care provider with primary practice located at 463 E Circle Dr , East Lansing MI 48824-7500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brisboe, Laura M can be contacted via phone (517) 884-6546.

Contact Information

Primary practice address
463 E Circle Dr East Lansing MI 48824-7500
Phone: (517) 884-6546
Fax: (517) 432-9460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704177648 Michigan

Profile Details

NPI number 1396884722
LBN Legal business name Brisboe, Laura M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396884722 NPPES
Michigan MEDICAID 1396884722

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