Individual
MARK ALAN BOXELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC
Contact information
Practice address
2700 LAFAYETTE ST STE 110, FORT WAYNE, IN 46806-1100
(260) 266-0780
Mailing address
7215 TURKEY RUN DR, FORT WAYNE, IN 46815-7735
(317) 491-5995
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71014808A
IN
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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