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NPI Code Detail

MEDICARE: KATRINA M BOOZE APRN

MEDICARE: KATRINA M BOOZE APRN
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
1133N00000XNutritionistRN353747OH
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0037800OH

General Provider Information

NPI Number : 1871933929
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA M BOOZE APRN
Provider Business Mailing Address
First Line : 2624 LEXINGTON AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45505-2620
Country : US
Telephone Number : 937-328-5300
Fax Number : 937-322-4900
Provider Business Practice Location Address
First Line : 2624 LEXINGTON AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45505-2620
Country : US
Telephone Number : 937-328-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2013
Last Update Date : 05/20/2025

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Directions to “ KATRINA M BOOZE APRN” Practice Location

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