Individual
LAUREL BOELENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP DNP
Contact information
Practice address
1065 N HURON RIVER DR STE 100, YPSILANTI, MI 48197-3296
(734) 896-4110
Mailing address
402 S 5TH AVE APT 3A, ANN ARBOR, MI 48104-2333
(734) 846-2720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704342864
MI
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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