Individual provider · Type 1 NPI

Christine Renee Conner-Bongo, NP-C

Adult Health Nurse Practitioner · Dearborn, MI

NPI number 1174663074 Active

Practice location

4700 Schaefer Rd
Dearborn, MI 48126-3698

Fax (562) 499-6171

Mailing address

200 Oceangate, #100
Long Beach, CA 90802-4317

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X4704181197 (MI)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1174663074

Christine Renee Conner-Bongo, NP-C's National Provider Identifier is 1174663074, issued on Feb 8, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dearborn, MI. The record was last updated on Apr 3, 2017.