MICHELE BOONSTRA

HACKENSACK, NJ
NPI1659793875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ  26NJ00467100)
Enumeration Date2014-01-07
Last Update Date2014-01-07
Business Address
-- MICHELE BOONSTRA MSN, NP-C
92 SECOND ST
HACKENSACK, NJ 07601
Phone number: 551-996-5900
Mailing Address
-- MICHELE BOONSTRA MSN, NP-C
92 SECOND ST
HACKENSACK, NJ 07601
Phone number: 551-996-5900