GERALDINE BOURLIER (NPI# 1659422871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659422871 |
| Entity Type | Individual |
| Full Name | GERALDINE BOURLIER |
| Credential | CNP |
| Practice Address |
3055 Plymouth Rd Suite 203 Ann Arbor MI 48105-3208 |
| Mailing Address |
2100 Commonwealth Blvd Suite 202 Ann Arbor MI 48105-1593 |
| Practice Telephone | 7347693896 |
| Practice Fax Number | 7347693746 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704078780 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3055 PLYMOUTH RD SUITE 203 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753263 | Nasser Sukhon | Internal Medicine | 3055 Plymouth Rd, Suite 107, Ann Arbor, MI 48105-3208 | 2005-07-14 |
| 1447726104 | Karen Wilkinson Wright | Nurse Practitioner | 3055 Plymouth Rd, Ann Arbor, MI 48105-3208 | 2018-10-22 |
| 1689998155 | Kinnari K Prajapati | Physical Therapist | 3055 Plymouth Rd, Suite # 101, Ann Arbor, MI 48105-3208 | 2010-03-26 |
| 1598938870 | Naser N Sukhon Md PC | Internal Medicine | 3055 Plymouth Rd, Suite 107, Ann Arbor, MI 48105-3208 | 2008-04-08 |
| 1629171210 | Richard Leal Fisher | Dentist | 3055 Plymouth Rd, Suite 100, Ann Arbor, MI 48105-3208 | 2006-09-07 |
| 1659485365 | Aubrey Elkins | Pediatrics | 3055 Plymouth Rd, Ann Arbor, MI 48105-3208 | 2006-08-18 |
| 1215954292 | Peter Scuccimarri, Md, Faafp, PC | Family Medicine | 3055 Plymouth Rd, Suite 107, Ann Arbor, MI 48105-3208 | 2006-07-16 |
| 1952347940 | Herlind Elza Debleser | Physical Therapist | 3055 Plymouth Rd, Suite 101, Ann Arbor, MI 48105-3208 | 2006-06-20 |
| 1285618231 | David Kirkland Vallance | Internal Medicine | 3055 Plymouth Rd, Suite 102, Ann Arbor, MI 48105-3208 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477073047 | Ariel Ann Shagena | Nurse Practitioner | 760 W Eisenhower Pkwy Ste 208, Ann Arbor, MI 48103-6196 | 2017-06-23 |
| 1083862924 | Sarah Stewart Leroy | Nurse Practitioner | 3300 Lorraine St, Healthplace101, Ann Arbor, MI 48108-1970 | 2008-09-04 |
| 1588857387 | Yvette White | Nurse Practitioner | 2600 Green Rd, Suite 150a, Ann Arbor, MI 48105-4631 | 2007-08-24 |
| 1801857669 | Karen Ann Kopicko | Nurse Practitioner | 911 Brown St, Ann Arbor, MI 48104-3203 | 2006-03-31 |
| 1831170737 | Jennifer Salerno | Nurse Practitioner | 2800 Stone School Rd, Ann Arbor, MI 48104-7434 | 2005-11-08 |
| 1376158311 | Haven Shaffer | Nurse Practitioner | 4350 Jackson Rd Ste 100, Ann Arbor, MI 48103-1889 | 2020-09-15 |
| 1629690227 | Kelly Sweeney | Nurse Practitioner | 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 | 2020-05-18 |
| 1861030439 | Jillian Margaret Johnson | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-12-14 |
| 1598319204 | Julianne Elizabeth Stieber | Nurse Practitioner | 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 | 2019-07-31 |
| 1225506017 | Emily Ann Miller | Nurse Practitioner | 1500 East Medical Center Dr, 11th Floor C.s. Mott Children's Hospital Rm 661, Ann Arbor, MI 48109-5204 | 2018-11-09 |
| Find all providers in ANN ARBOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.