Individual
MRS. TARA NICOLE BOEHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-2126
Mailing address
920 BUCKINGHAM RD, DAYTON, OH 45419-3743
(937) 286-4744
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RN.354009
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP.022062
OH
376K00000X
Nurse's Aide
400443531204
OH
Other
Enumeration date
02/17/2007
Last updated
03/17/2018
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