| Doctor Name: | MRS. TERRI VON BOYER |
| NPI Number: | 1558520767 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RCNA |
| License Number: | 1033549-1-AFC |
| Business Practice Address: | 42874 Eagle St Aitkin, MN - 564314980 |
| Business Phone Number: | 2189274123 |
| Business Fax Number: | |
| Mailing Address: | 42874 Eagle St, AITKIN |
| State: | MN |
| Postal Code: | 564314980 |
| Phone Number: | 2189274123 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2008 |
| NPI Last Update Date: | 06/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 1033549-1-AFC |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |