Provider Demographics
NPI:1467852863
Name:BRZYS, ANDREA CELIA (FNP)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:CELIA
Last Name:BRZYS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2799 WEST GRAND BLVD.
Mailing Address - Street 2:K-8 DEPARTMENT OF GENERAL SURGERY
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202
Mailing Address - Country:US
Mailing Address - Phone:313-806-0041
Mailing Address - Fax:
Practice Address - Street 1:2799 WEST GRAND BLVD.
Practice Address - Street 2:K-8 DEPARTMENT OF GENERAL SURGERY
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202
Practice Address - Country:US
Practice Address - Phone:313-806-0041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704221672363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily