Individual
CHERYL L BORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109
(734) 647-5660
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704134368
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704134368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4483068
—
MI
Enumeration date
12/18/2006
Last updated
10/17/2019
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