Dr. Susan Bird, DNP, AGPCNP-BC
Nurse Practitioner in Lansing, MI. Individual provider (NPI-1).
NPI number1073926622
StatusActive
Last updated in NPPESJun 3, 2019
Details
- NPI
- 1073926622
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susan Bird
- Credential
- DNP, AGPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2014
- Last updated
- Jun 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704205281 | MI | Yes |
| 163WG0600X | Registered Nurse, Gerontology | 4704205281 | MI |
Practice location
1215 E Michigan AveLansing, MI 48912-1811
Phone 517-364-2050
Mailing address
Po Box 13008Lansing, MI 48901-3008
Phone 517-253-6320
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