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NPI Code Detail

MEDICARE: DR. BRIDGET ANN STERK FNP,BC

MEDICARE: DR. BRIDGET ANN STERK FNP,BC
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
1363LP0200XPediatric Nurse Practitioner4704117669MI
2363LF0000XFamily Nurse Practitioner4704117669MI

General Provider Information

NPI Number : 1124003058
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIDGET ANN STERK FNP,BC
Provider Business Mailing Address
First Line : 3602 PARKWAY DR
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-6482
Country : US
Telephone Number : 248-930-9176
Fax Number :
Provider Business Practice Location Address
First Line : 39350 9 MILE RD
Second Line :
City : NORTHVILLE
State : MI
Zip : 48167-9164
Country : US
Telephone Number : 248-930-9176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 08/20/2024

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