Individual
KYLA BOYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CPNP
Contact information
Practice address
3200 W LIBERTY RD, ANN ARBOR, MI 48103-9746
(734) 994-9059
Mailing address
3200 W LIBERTY RD, ANN ARBOR, MI 48103-9746
(734) 994-9059
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
47042005104
MI
363LP2300X
Primary Care Nurse Practitioner
47042005104
MI
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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