Individual
STEPHANIE BOIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4020 COPPER VW STE 104, TRAVERSE CITY, MI 49684-7041
(231) 421-6921
Mailing address
1014 6TH ST, STE 101, TRAVERSE CITY, MI 49684-2381
(231) 421-6921
(231) 421-7852
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704274742
MI
363L00000X
Nurse Practitioner
ARNP9379468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015841800
—
FL
01
—
Y0T5F
BCBS
FL
Enumeration date
10/08/2015
Last updated
08/24/2018
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