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NPI Code Detail

MEDICARE: KATHERINE BOND FNP-C

MEDICARE:   KATHERINE  BOND  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704189283MI

General Provider Information

NPI Number : 1336680693
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE BOND FNP-C
Provider Business Mailing Address
First Line : 1 FORD PL STE 3A
Second Line :
City : DETROIT
State : MI
Zip : 48202-3450
Country : US
Telephone Number : 313-874-4806
Fax Number :
Provider Business Practice Location Address
First Line : 3200 E LAFAYETTE ST
Second Line :
City : DETROIT
State : MI
Zip : 48207-3812
Country : US
Telephone Number : 313-567-0534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2017
Last Update Date : 12/08/2025

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Directions to “ KATHERINE BOND FNP-C” Practice Location

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