Individual
CHRISTY BOURDLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1019 CAMPUS DRIVE, BIG RAPIDS, MI 49307
(231) 591-5961
(231) 591-5970
Mailing address
1019 CAMPUS DRIVE, BIG RAPIDS, MI 49307
(231) 591-5961
(231) 591-5970
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704282976
MI
Other
Enumeration date
03/02/2015
Last updated
01/17/2017
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