MISS CHRISTINE RENEE CONNER-BONGO NP-C NPI 1174663074

NPI Information

NPI: 1174663074
Provider Name: MISS CHRISTINE RENEE CONNER-BONGO, NP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
4700 SCHAEFER RD
DEARBORN, MI
ZIP 48126
Phone: (888) 562-5442
Get Directions

MISS Christine Renee Conner-bongo, NP-C is an adult health nurse practitioner in Dearborn, MI. MISS Christine Renee Conner-bongo, NP-C NPI is 1174663074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4700 SCHAEFER RD
DEARBORN, MI
ZIP 48126-698
Phone: (888) 562-5442
Fax: (562) 499-6171

The enumeration date for this NPI number is 2/8/2007 and was last updated on 4/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	4704181197	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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