| Kristen Bourgon, MSN, AGPCNP-BC | |
|
21650 W 11 Mile Rd Ste 202, Southfield, MI 48076-3777 | |
| (248) 327-6196 | |
| (248) 327-6356 |
| Full Name | Kristen Bourgon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 21650 W 11 Mile Rd Ste 202, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851838809 | NPI | - | NPPES |
| Entity Name | Greenfield And 9 Mile Medical Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265874945 PECOS PAC ID: 1759510837 Enrollment ID: O20140213000199 |
| Entity Name | Integrated Visiting Physician Solutions Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891109641 PECOS PAC ID: 6507082484 Enrollment ID: O20140730000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Bourgon, MSN, AGPCNP-BC 20075 Northville Place Dr, Northville, MI 48167-2984 Ph: (248) 672-2271 | Kristen Bourgon, MSN, AGPCNP-BC 21650 W 11 Mile Rd Ste 202, Southfield, MI 48076-3777 Ph: (248) 327-6196 |
Mrs. Theonna Monique Hindmon-harris, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21700 Northwestern Hwy Ste 815, Southfield, MI 48075 Phone: 248-557-3337 Fax: 248-557-3339 | |
Charmaine Adegeye, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25240 Lahser Rd Ste 2, Southfield, MI 48033 Phone: 248-564-1367 Fax: 734-725-6746 | |
Ms. Jessica L Beacome, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 101 Fischer Center, Southfield, MI 48075 Phone: 248-849-8716 Fax: 248-849-2565 | |
Teresea Ann Zarza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2528 Fax: 248-849-8256 | |
Nicole Noel Silvestri, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Mrs. Caroline B Trapp, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29201 Telegraph Rd, Suite 404, Southfield, MI 48034 Phone: 248-355-0880 Fax: 248-355-9232 | |
Mrs. Bernadette Ann Bruno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2536 |