Individual
NANCY BOERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
919 44TH AVE, JENISON, MI 49428-9193
(616) 797-9920
(616) 797-9921
Mailing address
7354 GREENTREE DR, JENISON, MI 49428-8747
(616) 662-0942
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704144074
MI
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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