Bianca Fatima Berry, FNP | |
5711 Stone Briar Ln S, Freeland, MI 48623-9580 | |
(313) 627-1916 | |
Not Available |
Full Name | Bianca Fatima Berry |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5711 Stone Briar Ln S, Freeland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588437404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704338762 (Michigan) | Primary |
Entity Name | Flushing Urgent Care Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780930016 PECOS PAC ID: 2961653803 Enrollment ID: O20121127000269 |
Mailing Address | Practice Location Address |
---|---|
Bianca Fatima Berry, FNP 5711 Stone Briar Ln S, Freeland, MI 48623-9580 Ph: () - | Bianca Fatima Berry, FNP 5711 Stone Briar Ln S, Freeland, MI 48623-9580 Ph: (313) 627-1916 |
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