Individual provider · Type 1 NPI

Therese L. Boggiano, RN

Psychiatric/Mental Health Nurse Practitioner · Holland, MI

NPI number 1699023259 Active

Practice location

12265 James St
Holland, MI 49424-8613

Mailing address

131 W Seaway Dr, Ste 200
Norton Shores, MI 49444-3761

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X4704278126 (MI)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704278126 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1699023259

Therese L. Boggiano, RN's National Provider Identifier is 1699023259, issued on Aug 29, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Holland, MI. The record was last updated on Aug 3, 2018.