Individual
MICHAEL JOHN BOALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRNCNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0040214
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0040214
OH
Other
Enumeration date
03/04/2025
Last updated
09/22/2025
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