Individual
MELINDA BOYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
(217) 544-6464
(217) 757-6537
Mailing address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
(217) 544-6464
(217) 757-6537
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.012582
IL
Other
Enumeration date
02/16/2015
Last updated
05/04/2017
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