Provider Demographics
NPI:1184907768
Name:BOSSCHER, ASHLEE R (FNP)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:R
Last Name:BOSSCHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:500 CHESTNUT ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-1824
Mailing Address - Country:US
Mailing Address - Phone:231-306-4900
Mailing Address - Fax:231-775-3203
Practice Address - Street 1:500 CHESTNUT ST
Practice Address - Street 2:SUITE #1
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-1824
Practice Address - Country:US
Practice Address - Phone:231-306-4900
Practice Address - Fax:231-775-3203
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704255305363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily