Individual
BRENDA BIERENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, BC
Contact information
Practice address
5555 CONNER ST, SUITE 2691, DETROIT, MI 48213-3448
(313) 579-1182
Mailing address
5555 CONNER ST, SUITE 2691, DETROIT, MI 48213-3448
(313) 579-1182
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704245090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IND 5008675110
BLUE CROSS
—
Enumeration date
10/21/2008
Last updated
07/31/2013
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