Provider Demographics
NPI:1801574421
Name:BRANSFORD, CHERESE PATRELLE
Entity type:Individual
Prefix:
First Name:CHERESE
Middle Name:PATRELLE
Last Name:BRANSFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 MARTHAROSE CT
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504-1277
Mailing Address - Country:US
Mailing Address - Phone:810-964-1300
Mailing Address - Fax:
Practice Address - Street 1:3260 MARTHAROSE CT
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-1277
Practice Address - Country:US
Practice Address - Phone:810-964-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula