Individual provider · Type 1 NPI
Jennifer Burgtorf
Primary Care Nurse Practitioner · Woodhaven, MI
NPI number
1205202025
Active
Practice location
25000 Hall Rd Ste 1
Woodhaven, MI 48183-5112
Mailing address
25000 Hall Rd, Ste 1
Woodhaven, MI 48183-5112
Other practice locations
- 9049 Bellevue Rd, Grosse Ile, MI 48138-1858 · (734) 676-3373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704286508 (MI) |
| Gerontology Nurse Practitioner | 363LG0600X | 4704286508 (MI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704286508 (MI) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
Other primary care nurse practitioner providers in Woodhaven
About NPI 1205202025
Jennifer Burgtorf's National Provider Identifier is 1205202025, issued on Aug 16, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Woodhaven, MI. The record was last updated on Oct 9, 2024.