Individual
KRISTINA BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
240 PICKERING ST, MONTGOMERY CITY, MO 63361-1941
(573) 564-2101
(573) 564-2130
Mailing address
240 PICKERING ST, MONTGOMERY CITY, MO 63361-1941
(573) 564-2101
(573) 564-2130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2013042560
MO
363LF0000X
Family Nurse Practitioner
2013042560
MO
Other
Enumeration date
03/31/2014
Last updated
05/09/2024
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