Individual
SHERRY BUMPUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1671 W MICHIGAN AVE, SUITE A, CLINTON, MI 49236-8702
(517) 456-4171
(517) 456-4600
Mailing address
1671 W MICHIGAN AVE, SUITE A, CLINTON, MI 49236-8702
(517) 456-4171
(517) 456-4600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704195192
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379333
ANTHEM
MI
05
—
4788534
—
MI
Enumeration date
12/22/2005
Last updated
11/29/2023
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