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NPI 1891893855 · live from the CMS NPI Registry

Virginia Bareham, CNP

Nurse Practitioner, Pediatrics in Ann Arbor, MI. National Provider Identifier 1891893855, active.

NPI record

NPI1891893855 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108
Practice phone734-971-9344
Mailing address2100 Commonwealth Blvd, Suite 202, Ann Arbor, MI 48105
EnumeratedSeptember 20, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X4704070601 (MI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.