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MS. CHARISSA ALICE BREDOW-SHAWCROSS NP
NPI 1902121361
Nurse Practitioner - Adult Health in Detroit, MI

Active since March 29, 2010
18917 JOY RD, DETROIT, MI 48228(313) 581-7773(313) 581-7793 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Charissa Alice Bredow-shawcross Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CHARISSA ALICE BREDOW-SHAWCROSS NP (NPI 1902121361) is an individual adult health provider in Detroit, Michigan, licensed in Michigan (4704115714) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1902121361
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. CHARISSA ALICE BREDOW-SHAWCROSSCredential: NP
Location Address18917 JOY RDDetroit, MI 48228-3050
Mailing Address18917 Joy RdDetroit, MI 48228-3050 · (313) 581-7773 · Fax (313) 581-7793
Phone(313) 581-7773
Fax(313) 581-7793
Sole ProprietorNo
Enumeration DateMarch 29, 2010
Last NPPES UpdateAugust 5, 2016
✔ NPI 1902121361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704115714
18917 JOY RD, Detroit, MI 48228
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY JYNETTE BAKER
Behavior Technician
18917 JOY RD
DETROIT, MI 48228
Wayne County (248) 289-3008
DEVONTE JONES
Behavior Technician
18917 JOY RD
DETROIT, MI 48228
Wayne County (734) 506-6636
ALEXIS IRENE CIAPPARA
Behavior Technician
18917 JOY RD
DETROIT, MI 48228
Wayne County (999) 999-9999
ANGIEL CAGLEY
Behavior Technician
18917 JOY RD
DETROIT, MI 48228
Wayne County (248) 624-0110
ISABEL FOLTZ
Behavior Analyst
18917 JOY RD
DETROIT, MI 48228
Wayne County (248) 289-3008
ALEXXAS DEJANAE ROUND
Behavior Technician
18917 JOY RD
DETROIT, MI 48228
Wayne County (248) 289-3008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charissa Bredow-shawcross's NPI number?

The NPI number for Charissa Bredow-shawcross is 1902121361. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Where is Charissa Bredow-shawcross located?

Charissa Bredow-shawcross practices at 18917 Joy Rd, Detroit, MI 48228. The listed phone number is (313) 581-7773.

What is Charissa Bredow-shawcross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Charissa Bredow-shawcross was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.