Provider Demographics
NPI:1588196026
Name:MCARTHUR, BRIAN JEFFREY (DNP)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:JEFFREY
Last Name:MCARTHUR
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9099 E LANSING RD
Mailing Address - Street 2:STE A
Mailing Address - City:DURAND
Mailing Address - State:MI
Mailing Address - Zip Code:48429-1083
Mailing Address - Country:US
Mailing Address - Phone:989-288-2651
Mailing Address - Fax:989-288-2087
Practice Address - Street 1:9099 E LANSING RD
Practice Address - Street 2:STE A
Practice Address - City:DURAND
Practice Address - State:MI
Practice Address - Zip Code:48429-1083
Practice Address - Country:US
Practice Address - Phone:989-288-2651
Practice Address - Fax:989-288-2087
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704275841363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner