| Doctor Name: | CHRISTY BOURDLAIS |
| NPI Number: | 1225420136 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | APPLIED FOR |
| Business Practice Address: | 20095 Gilbert Rd Ste B Big Rapids, MI - 493072365 |
| Business Phone Number: | 2316294710 |
| Business Fax Number: | |
| Mailing Address: | 20095 Gilbert Rd, Ste B BIG RAPIDS |
| State: | MI |
| Postal Code: | 493072365 |
| Phone Number: | 2316294710 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2015 |
| NPI Last Update Date: | 03/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | APPLIED FOR |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |