Provider Demographics
NPI:1639601677
Name:BOIKE, HANNAH ROSE (FNP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ROSE
Last Name:BOIKE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ROSE
Other - Last Name:BERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:39555 W. TEN MILE RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375
Mailing Address - Country:US
Mailing Address - Phone:248-426-7200
Mailing Address - Fax:248-426-7335
Practice Address - Street 1:39555 W. TEN MILE RD
Practice Address - Street 2:SUITE 302
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375
Practice Address - Country:US
Practice Address - Phone:248-426-7200
Practice Address - Fax:248-426-7335
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704324090363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily