BRENNA RAE MELL


Address: 3901 Beaubien St, Children's Hospital of Michigan, Neurosurgery Dept, Detroit, MI 48201-2119
Phone: 3138334490

BRENNA RAE MELL (NPI# 1053681221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053681221
Entity Type Individual
Full Name BRENNA RAE MELL
Credential PA-C
Practice Address 3901 Beaubien St
Children's Hospital of Michigan, Neurosurgery Dept
Detroit
MI 48201-2119
Practice Telephone 3138334490
Mailing Telephone 3138334490
Enumeration Date 2012-01-05
Last Update Date 2016-06-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
L2109519 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3901 BEAUBIEN ST
CHILDREN'S HOSPITAL OF MICHIGAN, NEUROSURGERY DEPT
City DETROIT
State MI
Zip Code 48201-2119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538151238 Mark Campbell Nurse Anesthetist, Certified Registered 3901 Beaubien St, Detroit, MI 48201-2119 2005-08-18
1164037735 Mamdouh Dakhel A Alahmadi Thoracic Surgery (Cardiothoracic Vascular Surgery) 3901 Beaubien St, Detroit, MI 48201-2196 2020-09-10
1801407119 Samantha Mulkiten Nurse Practitioner 3901 Beaubien St, Detroit, MI 48201-2119 2020-08-11
1346864550 Mariane Tomiyoshi Asato Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2119 2020-06-03
1629691613 Abigail Marie Troy Pediatrics 3901 Beaubien St, Detroit, MI 48201-2196 2020-05-25
1235750373 Katherine Marie Obudzinski Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2196 2020-04-29
1548880073 Sara Mercedes Evans Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2119 2020-04-24
1619597069 Zahur Fatima Sallman Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2119 2020-04-24
1154941706 Saira Tariq Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2119 2020-04-23
1063032688 Michael Allen Finkel Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2119 2020-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700248176 Katilyn Kohl Physician Assistant 3990 John R St Ste 4905, Detroit, MI 48201-2018 2016-03-24
1881822187 Shea Mace Physician Assistant 6799 West Grand Blvd, Detroit, MI 48202 2009-06-24
1942469135 Marcus Harris Physician Assistant 13949 Artesian St, Detroit, MI 48223-2915 2008-06-03
1316135379 Clifford N Owhor Physician Assistant 4777 E Outer Dr Ste 1147, Detroit, MI 48234-3241 2007-10-04
1720513435 Olivia Luisa Rojas Physician Assistant 2799 W Grand Blvd, Clinic K, 11th Floor, Detroit, MI 48202-2608 2017-05-01
1043760754 Nicholas Joseph Michel Physician Assistant 4201 Saint Antoine St, Detroit, MI 48201-2153 2016-10-05
1013387174 Sybrena Evans Physician Assistant 3901 Beaubien St, Detroit, MI 48201-2119 2015-10-01
1639574494 Matthew Scott Mckay Physician Assistant 6071 W Outer Dr, Detroit, MI 48235-2624 2014-10-22
1922348184 Carleta Poydras Physician Assistant 6071 W Outer Dr, Joint Excel Plus Orthopedic Clinic, Detroit, MI 48235-2624 2013-02-26
1801162532 Jodi Iacco Physician Assistant 22201 Moross Rd, Professional Building 1 Suite 132, Detroit, MI 48236-2169 2012-03-27
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Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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