Individual
KATHEY DIANNE BOECKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
704 CANAL AVE E, WYNNE, AR 72396-3042
(870) 239-2101
(870) 238-4569
Mailing address
21 COUNTY ROAD 628, WYNNE, AR 72396-8424
(870) 588-5256
(870) 238-4569
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
A01022
AR
Other
Enumeration date
06/15/2006
Last updated
09/13/2012
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