Healthcare Provider Details

I. General information

NPI: 1801764949
Provider Name (Legal Business Name): COLLEEN MARY BONSER DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 S STATE ST
ANN ARBOR MI
48104-2005
US

IV. Provider business mailing address

209 S STATE ST
ANN ARBOR MI
48104-2005
US

V. Phone/Fax

Practice location:
  • Phone: 734-769-1804
  • Fax:
Mailing address:
  • Phone: 734-769-1804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704374498
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: