Amy Lynn Boshoven, NP | |
15146 16th Ave, Marne, MI 49435-9605 | |
(616) 288-6970 | |
(616) 341-6013 |
Full Name | Amy Lynn Boshoven |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 15146 16th Ave, Marne, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336135557 | NPI | - | NPPES |
AB199423 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704199423 (Michigan) | Primary |
Entity Name | Michigan Post-acute Medical Services 1 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669901567 PECOS PAC ID: 2163798877 Enrollment ID: O20171025001292 |
Entity Name | Mi Pacs 2 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205418357 PECOS PAC ID: 2264831577 Enrollment ID: O20210518002473 |
Mailing Address | Practice Location Address |
---|---|
Amy Lynn Boshoven, NP 15146 16th Ave, Marne, MI 49435-9605 Ph: (616) 288-6970 | Amy Lynn Boshoven, NP 15146 16th Ave, Marne, MI 49435-9605 Ph: (616) 288-6970 |
Jason Roberts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 844-776-9651 | |
Ms. Tammy Jo Ayers, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 844-776-9651 | |
Hilary M Fowler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 616-520-9074 | |
Mary Carol Vander Wal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13712 32nd Ave, Marne, MI 49435 Phone: 616-677-3633 Fax: 616-677-5330 | |
Lee A Diener, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 844-776-9651 | |
Nina Johnson Deane, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 844-776-9651 |