Provider Demographics
NPI:1841432176
Name:TREPKOWSKI, BRANDY LYNN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:LYNN
Last Name:TREPKOWSKI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:MI
Mailing Address - Zip Code:48471-1009
Mailing Address - Country:US
Mailing Address - Phone:810-648-3770
Mailing Address - Fax:810-648-3352
Practice Address - Street 1:75 DAWSON ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:MI
Practice Address - Zip Code:48471-3305
Practice Address - Country:US
Practice Address - Phone:810-648-2232
Practice Address - Fax:810-648-0053
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704243789363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily