Individual
AMY LYNN BOSHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15146 16TH AVE, MARNE, MI 49435-9605
(616) 288-6970
(616) 341-6013
Mailing address
15146 16TH AVE, MARNE, MI 49435-9605
(616) 288-6970
(616) 341-6013
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704199423
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB199423
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/22/2005
Last updated
02/16/2026
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