Individual
MATTHEW CARLOS BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.N.P.
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-4925
(614) 293-5503
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-2046
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.325771
OH
363L00000X
Nurse Practitioner
Primary
COA17472NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
04/21/2015
Last updated
07/29/2015
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