MRS. Alicia Anne Prucknic, RN, BSN, CCM
NPI #1336814599 in Brownstown Twp, Michigan
Provider Information
- NPI Number
- 1336814599
- Entity Type
- Individual
- Name
- MRS. Alicia Anne Prucknic, RN, BSN, CCM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- RN, BSN, CCM
- Enumeration Date
- Aug 10, 2021
- Last Updated
- Feb 13, 2025
Practice Location
- Address
- 23772 WEST RD # 262
- City
- Brownstown Twp
- State
- Michigan
- ZIP Code
- 48183-3050
- Phone
- (734) 788-9111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Case Management — Case Management |
| Clinical Nurse Specialist - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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