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NPI Code Detail

MEDICARE: NOEL KAY LYNNE BOAS CRNA

MEDICARE: NOEL KAY LYNNE BOAS CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN650099PA

General Provider Information

NPI Number : 1255848792
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOEL KAY LYNNE BOAS CRNA
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number : 717-851-6969
Provider Business Practice Location Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number : 717-544-7890
Fax Number : 717-544-7157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2018
Last Update Date : 01/16/2026

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