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NPI Code Detail

MEDICARE: MRS. MARTHA J BOYER NP

MEDICARE: MRS. MARTHA J BOYER NP
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
1363LA2200XAdult Health Nurse Practitioner4704137196MI

General Provider Information

NPI Number : 1962449793
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARTHA J BOYER NP
Provider Business Mailing Address
First Line : 601 JOHN STREET
Second Line : BOX 42
City : KALAMAZOO
State : MI
Zip : 49007
Country : US
Telephone Number :
Fax Number : 269-969-6133
Provider Business Practice Location Address
First Line : 2845 CAPITAL AVE SW STE 302
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49015-4187
Country : US
Telephone Number : 269-979-6333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 12/27/2023

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