Individual
POLLY ERIN BOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
650 JOEL DRIVE, FORT CAMPBELL, KY 42223
(270) 798-8388
Mailing address
650 JOEL DRIVE, FORT CAMPBELL, KY 42223
(270) 798-8388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
COA.144476-NP
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
339055
OH
Other
Enumeration date
05/09/2013
Last updated
08/18/2015
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