Individual
ELIZABETH SAYRE BOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
400 S STATE ST STE 250, ZEELAND, MI 49464-2092
(616) 741-2364
Mailing address
2614 THAYER DR, SAINT JOSEPH, MI 49085-2032
(616) 886-5705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704322662
MI
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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