Individual
ANDREA JO BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5483 GRATIOT RD, SAGINAW, MI 48638-6037
(989) 583-5626
Mailing address
5483 GRATIOT RD, SAGINAW, MI 48638-6037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704349491
MI
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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