Individual
KRISTEN BOECKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
28119 N MAIN ST STE B, DAPHNE, AL 36526-7090
(251) 214-0040
Mailing address
1000 URBAN CENTER DR, STE 600, VESTAVIA, AL 35242-2584
(205) 246-5690
(205) 848-2227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-173791
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-173791
AL
Other
Enumeration date
04/05/2020
Last updated
12/14/2021
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