Individual
LYNDA BOEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-F, PMH
Contact information
Practice address
253 LEWIS LN STE 202, HAVRE DE GRACE, MD 21078-3756
(410) 378-9696
(410) 378-9922
Mailing address
PO BOX 99, CONOWINGO, MD 21918-0099
(410) 378-9696
(410) 378-9922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R108129
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R108129
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444459100
—
MD
Enumeration date
04/18/2021
Last updated
08/02/2023
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