Individual
BOYANN BEA BONJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8550 BROADWAY, MERRILLVILLE, IN 46410-7173
(219) 769-3550
(219) 769-2642
Mailing address
1243 SURREY CT, CROWN POINT, IN 46307-5239
(219) 682-6872
(219) 769-2642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28083687A
IN
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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