Terri Bard, LPN
Individual provider Active NPI Licensed Practical Nurse · Berkley, MI
NPI 1124417332 · NPPES record last updated Jan 12, 2015
Key facts
- NPI
- 1124417332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703099185 (MI)
- Practice address
- 2766 11 Mile Rd Ste 2
Berkley, MI 48072-3033 - Phone
- (248) 542-2424
- Fax
- (248) 542-5621
- NPI assigned
- Jan 12, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703099185 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703099185 | MI | Yes |
Addresses
Primary practice location
2766 11 Mile Rd Ste 2
Berkley, MI 48072-3033
Mailing address
39040 Nottingham Dr
Romulus, MI 48174-6305
Phone (248) 747-1757
Other providers in Berkley, MI
- Baker Pharmacy Inc.
- Balanced Health and Wellness, LLC
- Stacie Banghart
- Julian Joseph Barbat
- Lauren Barczuk
- Allison Barrett
- Deborah Barycz I
- Lola Baskerville
- Angela Beach
- Pierre Charles Beaudet
All providers in Berkley, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.