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NPI Code Detail

MEDICARE: CASSIDY JO BOYER

MEDICARE: CASSIDY JO BOYER
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 AnesthetistAPRN.CRNA.13720OH

General Provider Information

NPI Number : 1427379353
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY JO BOYER
Provider Business Mailing Address
First Line : PO BOX 932759
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0015
Country : US
Telephone Number : 937-293-8228
Fax Number : 937-293-8229
Provider Business Practice Location Address
First Line : 710 11TH ST N
Second Line :
City : COLUMBUS
State : MT
Zip : 59019-7215
Country : US
Telephone Number : 406-322-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2010
Last Update Date : 03/20/2025

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Directions to “ CASSIDY JO BOYER ” Practice Location

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