Individual
JENNIFER ANN BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860
(406) 883-5680
(406) 883-8910
Mailing address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5680
(406) 883-8910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100911
MT
367500000X
Certified Registered Nurse Anesthetist
16701
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807572000
—
WA
Enumeration date
09/17/2006
Last updated
05/14/2019
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