MEDICARE: MRS. CINDY ANN BOYER RN

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
1	163WH0200X	Home Health Registered Nurse	200470	OH

General Provider Information

NPI Number	:	1164447553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CINDY ANN BOYER RN

Provider Business Mailing Address
First Line	:	10785 MITCHELL HILL DR
Second Line	:
City	:	DRESDEN
State	:	OH
Zip	:	43821-9544
Country	:	US
Telephone Number	:	740-754-1463
Fax Number	:	740-754-1463

Provider Business Practice Location Address
First Line	:	10785 MITCHELL HILL DR
Second Line	:
City	:	DRESDEN
State	:	OH
Zip	:	43821-9544
Country	:	US
Telephone Number	:	740-754-1463
Fax Number	:	740-754-1463

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/08/2007

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