Dr Christopher Michael Bouma, DNP, AGPCNP-BC, RN | |
300 68th St Se, Grand Rapids, MI 49548-6927 | |
(616) 455-5000 | |
Not Available |
Full Name | Dr Christopher Michael Bouma |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 300 68th St Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083122790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 4704272878 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pine Rest Christian Mental Health Services | 4981506508 | 314 |
Entity Name | Pine Rest Christian Mental Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467463604 PECOS PAC ID: 4981506508 Enrollment ID: O20041103000525 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher Michael Bouma, DNP, AGPCNP-BC, RN 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: () - | Dr Christopher Michael Bouma, DNP, AGPCNP-BC, RN 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 |
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