Ashlee R Bosscher, FNP

Individual provider Active NPI Family Nurse Practitioner · Cadillac, MI

NPI 1184907768 · NPPES record last updated Dec 20, 2011

Key facts

NPI
1184907768
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
4704255305 (MI)
Practice address
500 Chestnut St
Suite #1
Cadillac, MI 49601-1824
Phone
(231) 306-4900
Fax
(231) 775-3203
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4704255305MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Community Mental Health Past
since Apr 1, 2003
Accepting new patients
District Health Department No 10 Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704255305 MI Yes

Addresses

Primary practice location

500 Chestnut St
Suite #1
Cadillac, MI 49601-1824

Mailing address

500 Chestnut St
Suite #1
Cadillac, MI 49601-1824
Phone (231) 306-4900

Other providers in Cadillac, MI

All providers in Cadillac, MI · Family Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.