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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ALICIA ANNE PRUCKNIC, RN, BSN, CCM

Active Sole Proprietor

MRS. ALICIA ANNE PRUCKNIC, RN, BSN, CCM is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BROWNSTOWN TWP, Michigan. NPI 1336814599 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · BROWNSTOWN TWP, MI

Registration Details

NPI Number
1336814599
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2021 (5.0491423253933 yrs)
Last Updated
Feb 13, 2025
Licenses
4704244622 (MI)
4704244622 (MI)
4704244622 (MI)
Sole Proprietor
Yes

Practice Information

Address
23772 WEST RD # 262
BROWNSTOWN TWP, MI, 481833050
Browse MI providers · Browse ZIP 48183
Phone
7347889111
Fax
7349413264

Other Psychiatric/Mental Health Nurse Practitioner Providers in BROWNSTOWN TWP, MI

Name Credential NPI
MRS. ELIZABETH LIRIO-ONA SWEET NP. MSN 1689234999
ABDULAI ABU-JAJAH 1871360040
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.