MRS. REBECCA ALYCE BOENSCH MSN APRN BC NPI 1063412690

NPI Information

NPI: 1063412690
Provider Name: MRS. REBECCA ALYCE BOENSCH, MSN, APRN, BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
9900 BIRCH RUN RD
BIRCH RUN, MI
ZIP 48415
Phone: (989) 624-1501
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MRS. Rebecca Alyce Boensch, MSN, APRN, BC is a family nurse practitioner in Birch Run, MI. MRS. Rebecca Alyce Boensch, MSN, APRN, BC NPI is 1063412690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9900 BIRCH RUN RD
BIRCH RUN, MI
ZIP 48415-609
Phone: (989) 624-1501

The enumeration date for this NPI number is 7/26/2005 and was last updated on 2/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704194205	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0M20000015	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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