Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley Lauren Boonnam, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1417521501

Ashley Lauren Boonnam, FNP-BC is a Nurse Practitioner in West Allis, Wisconsin. Qualified in 2019, 7 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

8905 W Lincoln Ave Ste 501
West Allis, WI 53227-2470
Phone: (414) 978-2229
Fax: (414) 378-2279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9000 N 86th St, Milwaukee, WI 53224-1806 — (414) 350-4878

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10616 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10616-33 (WI)

Record details

NPI number1417521501
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 13, 2021
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Allis