Individual provider · Type 1 NPI

Kristen Bourgon, MSN, AGPCNP-BC

Family Nurse Practitioner · Southfield, MI

NPI number 1851838809 Active

Practice location

21650 W 11 Mile Rd Ste 202
Southfield, MI 48076-3777

Call (248) 327-6196 Map

Fax (248) 327-6356

Mailing address

20075 Northville Place Dr
Northville, MI 48167-2984

Other practice locations

  • 236 Constitution St, Canton, MI 48188-6719 · (248) 672-2271

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X4704277091 (MI)
Gerontology Nurse Practitioner 363LG0600X4704277091 (MI)
Primary Care Nurse Practitioner 363LP2300X4704277091 (MI)
Family Nurse Practitioner Primary 363LF0000X4704277091 (MI)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

Other family nurse practitioner providers in Southfield

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About NPI 1851838809

Kristen Bourgon, MSN, AGPCNP-BC's National Provider Identifier is 1851838809, issued on Jan 30, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southfield, MI. The record was last updated on Mar 9, 2021.