Karen Boeve, RN
Individual provider Active NPI Child & Adolescent Psychiatric/Mental Health Registered Nurse · Grand Haven, MI
NPI 1891037529 · NPPES record last updated Mar 20, 2013
Key facts
- NPI
- 1891037529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X
- License
- 4704169170 (MI)
- Practice address
- 1111 Fulton St
Grand Haven, MI 49417-1569 - Phone
- (616) 846-8175
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704169170 | MI | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 4704169170 | MI | Yes |
Addresses
Primary practice location
1111 Fulton St
Grand Haven, MI 49417-1569
Mailing address
1111 Fulton St
Grand Haven, MI 49417-1569
Phone (616) 846-8175
Other providers in Grand Haven, MI
- David Thomas Blanchard
- Dwayne Glenn Bloemers
- Bloom Skin Nutrition, LLC
- Andrew Michael Bobian
- Samantha Rachel Bock
- Norman Russell Boeve
- Keegan Bohn
- Cynthia Ann Bolling
- Shawn C Bonner
- Nicholas Michael Bontumasi
All providers in Grand Haven, MI · Child & Adolescent Psychiatric/Mental Health Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.