IndividualActive
Adriana Bourne, PA
NPI 1194288720 · Physician Assistant · Livonia, MI
Provider details
- NPI number
- 1194288720
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 5601008980 (MI)
Practice location
14555 Levan Rd
Ste 311
Livonia, MI 48154
Phone: (734) 655-2692
Fax: (734) 655-4218
Mailing address
24 Frank Lloyd Wright Drive
Ann Arbor, MI 48105
Registry dates
- Enumerated
- 2019-04-10
- Last updated
- 2026-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.