Individual provider · Type 1 NPI

Jane Bostrom Mauger, N.P.

Nurse Practitioner · Grand Rapids, MI

NPI number 1033315916 Active

Practice location

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336

Mailing address

1325 Thornapple River Dr SE
Grand Rapids, MI 49546-9736

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704124206 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1033315916

Jane Bostrom Mauger, N.P.'s National Provider Identifier is 1033315916, issued on Jun 26, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.