Dr Vanessa Lee Bourland, DNP, FNP-BC | |
8391 Commerce Rd, #108, Commerce Township, MI 48382-4489 | |
(248) 360-8100 | |
Not Available |
Full Name | Dr Vanessa Lee Bourland |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8391 Commerce Rd, Commerce Township, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609133065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704308880 (Michigan) | Primary |
Entity Name | Cristo Rey Community Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407800931 PECOS PAC ID: 2365345576 Enrollment ID: O20040830000021 |
Entity Name | Recovery Physicians Network Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689343683 PECOS PAC ID: 5597162552 Enrollment ID: O20210920000260 |
Mailing Address | Practice Location Address |
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Dr Vanessa Lee Bourland, DNP, FNP-BC 8391 Commerce Rd, #108, Commerce Township, MI 48382-4489 Ph: (248) 360-8100 | Dr Vanessa Lee Bourland, DNP, FNP-BC 8391 Commerce Rd, #108, Commerce Township, MI 48382-4489 Ph: (248) 360-8100 |
Deborah Sue Vendittelli, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 William Carls Dr, Commerce Township, MI 48382 Phone: 249-937-3300 | |
Kelsey A Austin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9640 Commerce Rd Ste 104, Commerce Township, MI 48382 Phone: 248-363-1500 | |
Ms. Laura Michelle Derrick, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2900 Union Lake Rd, Commerce Township, MI 48382 Phone: 248-242-6049 | |
Khalil Mustapha Hamadi, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39450 W 14 Mile Rd, Commerce Township, MI 48390 Phone: 248-864-0010 | |
Kristina Fulmer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1990 Union Lake Rd Ste 300, Commerce Township, MI 48382 Phone: 248-363-7109 | |
Linda Miller, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 William Carls Dr, Commerce Township, MI 48382 Phone: 248-937-3300 | |
Clarita Macatula, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1990 Union Lake Rd Ste 100, Commerce Township, MI 48382 Phone: 248-363-7109 |