Individual
HALLEY BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32061 OLD PORTLAND RD, ADEL, IA 50003-8703
(515) 480-1963
Mailing address
32061 OLD PORTLAND RD, ADEL, IA 50003-8703
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
H106572
IA
Other
Enumeration date
06/05/2014
Last updated
03/07/2023
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