Individual
MS. MIA BOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8412 KENDRICK PL, JAMAICA, NY 11432-2131
(718) 825-7350
Mailing address
8412 KENDRICK PL, JAMAICA, NY 11432-2131
(718) 825-7350
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431027
NY
Other
Enumeration date
07/18/2016
Last updated
03/31/2020
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