Dave Wayne Boissineau , LPN
Licensed Practical Nurse • Ishpeming, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dave Boissineau has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dave Boissineau, LPN was a registered Licensed Practical Nurse practicing in Ishpeming, MI. Throughout an active medical career spanning 2 years, Dave Boissineau provided care at the practice location at 97 S 4TH ST until profile deactivation on 2019-06-26.
Practice Location & Contact Primary Location
97 S 4th St
Ishpeming, MI 498492168
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Ishpeming, MI
Practicing in Ishpeming, MI (4550 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Case Manager/Care Coordinator
Registered Nurse
Social Worker - Clinical
Psychologist - Adult Development & Aging
Doctor of Philosophy (Ph.D.)
Counselor
Doctor of Philosophy (Ph.D.), Licensed Master Social Worker
Case Manager/Care Coordinator
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 26, 2019
NPI status registered as active in NPPES database
Registered at 97 S 4TH ST, ISHPEMING, MI 498492168 (Tel: 9064852347)
Registered at 97 S 4TH ST, ISHPEMING, MI 498492168 (Tel: 9064852347)
Recorded as DAVE BOISSINEAU, LPN
Licensed Practical Nurse (License #4703117117 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
97 S 4th St
Ishpeming, MI 498492168
Phone: 9064852347
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