Individual
LAUREN BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7910 W JEFFERSON BLVD STE 108, FORT WAYNE, IN 46804-4159
(260) 436-0800
(260) 483-1911
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010080A
IN
364S00000X
Clinical Nurse Specialist
71010080A
IN
Other
Enumeration date
03/30/2020
Last updated
05/15/2025
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