Organization Name: | JANE BOYER NP LLC |
NPI Number: | 1770723090 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE LILLIAN BOYER (SINGLE MEMBER) |
Mailing Address: | 2727 W 92nd Ave 200b Federal Heights |
State: | CO US |
Postal Code: | 802605221 |
Phone Number: | 7199304217 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2009 |
NPI Last Update Date: | 02/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 140128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |