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Individual
MS. WANDA BOYER
Active
Individual
MS. WANDA BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13191
CA
363L00000X
Nurse Practitioner
2435
WI
363LF0000X
Family Nurse Practitioner
Primary
13191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41250200
—
WI
Enumeration date
11/02/2005
Last updated
03/17/2018
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