Individual provider · Type 1 NPI
Christopher Michael Bouma, DNP, AGPCNP-BC, RN
Primary Care Nurse Practitioner · Grand Rapids, MI
NPI number
1083122790
Active
Practice location
300 68th St SE
Grand Rapids, MI 49548-6927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704272878 (MI) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1083122790
Christopher Michael Bouma, DNP, AGPCNP-BC, RN's National Provider Identifier is 1083122790, issued on Jan 16, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 16, 2018.