Individual
TINA BOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Mailing address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704288404
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704288404
MI
Other
Enumeration date
01/17/2019
Last updated
12/12/2023
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