Individual provider · NPI-1

Virginia Bareham, CNP

Nurse Practitioner, Pediatrics · Ann Arbor, MI

NPI number1891893855
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1891893855
Entity type
Individual (NPI-1)
Name
Virginia Bareham
Credential
CNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 20, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics4704070601MIYes

Practice location

3100 E Eisenhower Pkwy
Suite 100
Ann Arbor, MI 48108-5205

Phone 734-971-9344 · Fax 734-971-2303

Mailing address

2100 Commonwealth Blvd
Suite 202
Ann Arbor, MI 48105-1593

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