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NPI Code Detail

MEDICARE: ADAM BOYER CRNA

MEDICARE: ADAM BOYER 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
1163W00000XRegistered NurseRN693420PA
2390200000XStudent in an Organized Health Care Education/Training ProgramRN693420PA
3367500000XCertified Registered Nurse AnesthetistRN693420PA
4367500000XCertified Registered Nurse Anesthetist0001335965VA

General Provider Information

NPI Number : 1538739859
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM BOYER CRNA
Provider Business Mailing Address
First Line : 203 WILLOWBROOK DR
Second Line :
City : BOALSBURG
State : PA
Zip : 16827-1676
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 STATE ST
Second Line :
City : ERIE
State : PA
Zip : 16550-0002
Country : US
Telephone Number : 724-552-7462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2021
Last Update Date : 03/12/2026

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Directions to “ ADAM BOYER CRNA” Practice Location

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