Doctor Name: | MS. BARBARA BOKRAM |
NPI Number: | 1548670540 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4704072414 |
Business Practice Address: | 8650 Surfwood Dr Harbor Springs, MI - 497409151 |
Business Phone Number: | 2314995213 |
Business Fax Number: | |
Mailing Address: | 8650 Surfwood Dr, HARBOR SPRINGS |
State: | MI |
Postal Code: | 497409151 |
Phone Number: | 2314995213 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2014 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 4704072414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |