| Doctor Name: | MISS JANA R. BOEHLER |
| NPI Number: | 1104197524 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C-PAC |
| License Number: | 87997143-1206 |
| Business Practice Address: | 468 S Main St Spanish Fork, UT - 846602410 |
| Business Phone Number: | 8015046117 |
| Business Fax Number: | 8015046328 |
| Mailing Address: | 468 S Main St, SPANISH FORK |
| State: | UT |
| Postal Code: | 846602410 |
| Phone Number: | 8015046117 |
| Fax Number: | 8015046328 |
| NPI Enumeration Date: | 01/17/2012 |
| NPI Last Update Date: | 05/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 87997143-1206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |