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Individual

AHNYA M BOOZE-LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1200 HILYARD ST, EUGENE, OR 97401-8122
(458) 205-6543
(458) 205-6492
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1459
(360) 729-3066

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201801075NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP126377
OH

Other

Enumeration date
07/31/2008
Last updated
04/11/2018
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