Individual
DEBRA CATHERINE BOOYSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1626 30TH AVE, FAIRBANKS, AK 99701-7466
(907) 479-7701
Mailing address
2575 LINDA LN, FAIRBANKS, AK 99709-2406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112300
AK
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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