Individual
ANGELA BOEDEKER (EBERHARD)
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
120 W MAIN ST, CIRCLEVILLE, OH 43113-1654
(740) 572-3088
Mailing address
12175 HEFFNER RD, KINGSTON, OH 45644-9661
(740) 572-3088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0028441
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0028441
OH
Other
Enumeration date
03/08/2021
Last updated
11/21/2023
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