Individual
CHRISTINE BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5588
(812) 353-3060
(812) 353-3070
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 353-3087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28158003A
IN
Other
Enumeration date
08/06/2015
Last updated
12/02/2020
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