person
Kristen Bourgon, MSN,AGPCNP-BC
Family Nurse Practitioner in Southfield, Michigan
NPI 1851838809

Kristen Bourgon is a Family Nurse Practitioner based in Northville, MI and is specialized in Family. Kristen Bourgon practices in Southfield, MI and has the professional credentials of MSN,AGPCNP-BC. The NPI Number for Kristen Bourgon is 1851838809 and holds a License No. 4704277091 (Michigan).

The current practice location address for Kristen Bourgon is 21650 W 11 Mile Rd Ste 202, Southfield, MI and can be reached out via phone at 248-327-6196 and via fax at 248-327-6356.

Location: 21650 W 11 Mile Rd Ste 202, Southfield, MI, 48167-2984
person
Provider Profile Details
NPI Number
1851838809
Provider Name
Kristen Bourgon
Credential
MSN,AGPCNP-BC
Provider Entity Type
Individual
Gender
Female
Address
21650 W 11 Mile Rd Ste 202, Southfield, MI, 48167-2984
Phone Number
248-327-6196
Fax Number
248-327-6356
Provider Enumeration Date
01/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21650 W 11 Mile Rd Ste 202
City
State
Zip
48076-3777
Phone Number
248-327-6196
Fax Number
248-327-6356
person
Provider Business Mailing Address Details
Address
21650 W 11 Mile Rd Ste 202
City
State
Zip
48076-3777
Phone Number
248-327-6196
Fax Number
248-327-6356
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
4704277091 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704277091 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704277091 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
4704277091 (Michigan)
Definition
Definition to come...
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