Individual ProviderAshley ImbrunnoneNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address20952 E 12 Mile Rd # 101, Saint Clair Shores, MI 48081-3200(586) 498-3550(586) 943-1891PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Imbrunnone is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1376194597Provider TypeIndividualFull NameImbrunnone, AshleyCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date9/28/2019Last Updated9/28/2019Contact InformationPractice LocationPractice Address20952 E 12 Mile Rd # 101, Saint Clair Shores, MI 48081-3200Phone(586) 498-3550FaxUnlisted FaxMailing LocationMailing Address27302 Perry St, Roseville, MI 48066-2743Phone(586) 943-1891FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense19183080727Michigan