Organization
ELLEN LOUISE BOYER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN LOUISE BOYER CRNA (OWNER)
(602) 273-6770
Entity
Organization
Contact information
Practice address
1740 SYCAMORE AVE, KINGMAN, AZ 86409-0927
(602) 273-6770
(602) 889-0489
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0489
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN105314
AZ
Other
Enumeration date
01/25/2008
Last updated
02/21/2008
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