Most Relevant Information
Provider Data
| NPI Number: | 1003246380 |
| Provider Name: | BROOKE NAYAK CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704268691 |
Most Important Dates
| Enumeration Date: | 11/22/2013 |
| Last Updated: | 05/17/2023 |
Provider Practice Location
900 W. ANN ARBOR TR
SUITE 210
PLYMOUTH
MI
48170
Practice Location Phone/Fax
| Phone: | 7344554600 |
| Fax: | 7344665637 |
Provider Mailing Location
24 FRANK LLOYD WRIGHT DRIVE
SUITE J2000
ANN ARBOR
MI
48105
Provider Mailing Phone/Fax
| Phone: | 7342853090 |
| Fax: |