STEPHANIE MARIE BORDNER APRN AGNP-C NPI 1366035511

NPI Information

  • NPI: 1366035511
  • Provider Name: STEPHANIE MARIE BORDNER, APRN, AGNP-C
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: G3200 BEECHER RD STE O2
    FLINT, MI
    ZIP 48532
  • Phone: (810) 342-5500

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NPI Details

Stephanie Marie Bordner, APRN, AGNP-C is a gerontology nurse practitioner in Flint, MI with 5 years of experience. Stephanie Marie Bordner, APRN, AGNP-C NPI is 1366035511. 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:

G3200 BEECHER RD STE O2
FLINT, MI
ZIP 48532-613
Phone: (810) 342-5500

The NPI 1366035511 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)

The enumeration date for this NPI number is 2/18/2021 and was last updated on 7/13/2023.

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
1363LA2200XNurse PractitionerAdult Health4704264111MICHIGANNo
2363LG0600XNurse PractitionerGerontologyAG10200174MICHIGANYes

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: 3/30/2025

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