DR. LISA ANNE BRANNACK (NPI# 1174096887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174096887 |
| Entity Type | Individual |
| Full Name | DR. LISA ANNE BRANNACK |
| Credential | DNP |
| Practice Address |
989 University Dr Ste 101 Pontiac MI 48342-1885 |
| Practice Telephone | 2483344773 |
| Mailing Telephone | 4773248334 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704186403 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
989 UNIVERSITY DR STE 101 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-1885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| Find all providers in zip 48342 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538947 | Kaitlyn Elizabeth Kus | Nurse Practitioner | 64 N Saginaw St, Pontiac, MI 48342-2155 | 2019-09-29 |
| 1457850414 | Krystal Richardson | Nurse Practitioner | 461 W. Huron Suite 107, Pontiac, MI 48341 | 2018-02-06 |
| 1356866842 | Brandi Jones | Nurse Practitioner | 1296 Oaklawn Dr, Pontiac, MI 48341-3604 | 2017-08-07 |
| 1821466277 | Cheryl Elaine Nickolaou | Nurse Practitioner | 46156 Woodward Ave Ste B, Pontiac, MI 48342-5033 | 2015-09-02 |
| 1962000539 | Belinda Becker | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-10-15 |
| 1427661552 | Gloria Ann Przygoda | Nurse Practitioner | 1506 W Reynolds St, Pontiac, IL 61764-9674 | 2020-08-28 |
| 1932729274 | Justin Rodnez | Nurse Practitioner | 181 State St, Pontiac, MI 48341-1453 | 2020-04-16 |
| 1760012637 | Stacey M Merrill | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9784 | 2020-01-20 |
| 1154968667 | Samantha M Johnson | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2019-12-03 |
| 1649824681 | Marisa Stroster | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2019-07-29 |
| Find all providers in PONTIAC | ||||
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| 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.