Individual
MRS. BRIDGET HENELY-FORD BURNS-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 E MICHIGAN AVE STE 655, LANSING, MI 48912-1837
(517) 884-8840
(517) 884-8865
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704265831
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902245913
—
MI
Enumeration date
06/24/2013
Last updated
06/09/2016
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