| 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 |
| Entity Name | Recovery Physicians Network Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689343683 PECOS PAC ID: 5597162552 Enrollment ID: O20210920000260 |
| 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 |
Ms. Tammy Jo Ayers, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 844-776-9651 | |
Sheryl Funston, NP-BC 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: Not Enrolled in Medicare 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 | |
Lyndsey Margaret Clark, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 844-776-9651 Fax: 616-341-6016 | |
Lee A Diener, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15146 16th Ave, Marne, MI 49435 Phone: 844-776-9651 |