Individual
TRACEE L BOYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1520 ELIZABETH DR, LEBANON, IN 46052-1472
(765) 894-1187
Mailing address
1520 ELIZABETH DR, LEBANON, IN 46052-1472
(765) 894-1187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28123445A
IN
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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