Mrs Alicia Anne Prucknic, RN, BSN, CCM - Clinical Nurse Specialist in Brownstown Twp, MI

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Mrs Alicia Anne Prucknic, RN, BSN, CCM is a Clinical Nurse Specialist - Psychiatric/mental Health based in Brownstown Twp, Michigan. Mrs Alicia Anne Prucknic is licensed to practice in Michigan (license number 4704244622) and her current practice location is 23772 West Rd # 262, Brownstown Twp, Michigan. She can be reached at her office (for appointments etc.) via phone at (734) 788-9111.

NPI number for Mrs Alicia Anne Prucknic is 1336814599 and her current mailing address is 23772 West Rd # 262, Brownstown Twp, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336814599.

Contact Information

Mrs Alicia Anne Prucknic, RN, BSN, CCM
23772 West Rd # 262,
Brownstown Twp, MI 48183-3050
(734) 788-9111
(734) 941-3264

Map and Direction




Provider's Profile

Full NameMrs Alicia Anne Prucknic
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health
Location23772 West Rd # 262, Brownstown Twp, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336814599
  • Provider Enumeration Date: 08/10/2021
  • Last Update Date: 04/08/2024

Medical Identifiers

Medical identifiers for Mrs Alicia Anne Prucknic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336814599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0400XRegistered Nurse - Case Management 4704244622 (Michigan)Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 4704244622 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Alicia Anne Prucknic is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Alicia Anne Prucknic, RN, BSN, CCM
23772 West Rd # 262,
Brownstown Twp, MI 48183-3050

Ph: (734) 788-9111		Mrs Alicia Anne Prucknic, RN, BSN, CCM
23772 West Rd # 262,
Brownstown Twp, MI 48183-3050

Ph: (734) 788-9111

Reviews and Comments


Clinical Nurse Specialist Nurses in Brownstown Twp, MI


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