Dr. Christopher Michael Bouma
Nurse Practitioner - Primary Care
300 68th St Se
Grand Rapids
, Michigan 49548-6927
Dr. Christopher Michael Bouma
Nurse Practitioner - Primary Care
300 68th St Se
Grand Rapids
, Michigan 49548-6927
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Dr. Christopher Michael Bouma
- 300 68th St Se
- Grand Rapids, MI
- Zip : 49548-6927
- Phone :
Second Address
- Dr. Christopher Michael Bouma
- 300 68th St Se
- Grand Rapids, MI
- Zip : 49548-6927
- Phone : (616) 455-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 4704272878 | MI |
National Provider Identifier
| NPI | 1083122790 |
|---|---|
| Provider Name | Dr. Christopher Michael Bouma |
| First Address | Grand Rapids, MI 49548-6927 |
| Second Address | Grand Rapids, MI 49548-6927 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2018 |
| Last Update Date | 16/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.