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Sarah Boomstra, NP
Family Nurse Practitioner in Grand Rapids, Michigan
NPI 1215977509

Sarah Boomstra is a Family Nurse Practitioner based in Grand Rapids, MI and is specialized in Family. Sarah Boomstra practices in Grand Rapids, MI and has the professional credentials of NP. The NPI Number for Sarah Boomstra is 1215977509 and holds a License No. 4704218762 (Michigan).

The current practice location address for Sarah Boomstra is 100 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-391-6243.

Location: 100 Michigan St Ne, Grand Rapids, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215977509
Provider Name
Sarah Boomstra
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
100 Michigan St Ne, Grand Rapids, MI, 49503-2560
Phone Number
616-391-6243
Fax Number
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4696370 05 MI
5008704590 01 MI BCBS INDIVIDUAL PIN
1558407189 01 MI GROUP NPI
institution
Provider Business Practice Location Address Details
Address
100 Michigan St Ne
City
Grand Rapids
State
Michigan
Zip
49503-2560
Phone Number
616-391-6243
Fax Number
person
Provider Business Mailing Address Details
Address
100 Michigan St Ne
City
Grand Rapids
State
Michigan
Zip
49503-2560
Phone Number
616-391-6243
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704218762 (Michigan)
Definition
Definition to come...
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