Leesa Boyer

NPI 1760885081 - Registered Nurse - 163W00000X

NPI Details
NPI 1760885081
Gender Female
Enumeration Date 09/30/2014
Last Updated 09/30/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
2615 EDWARDS ST
ALTON IL, 62002-3915, US
Phone (618) 462-2331
Fax (618) 462-2504
Business Location
2615 EDWARDS ST
ALTON IL, 62002-3915, US
Phone (618) 462-2331
Fax (618) 462-2504
Toxanomy
Taxonomy Code 163W00000X
License State Illinois
License Number 041.242392
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According to our database, Leesa Boyer NPI is 1760885081, taxonomy code is 163W00000X and license number is 041.242392, license state is located at Illinois. Leesa Boyer physically located at 2615 Edwards St, Alton IL, 62002-3915. NPI Number Leesa Boyer has the Individual type.

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1760885081 NPI number is provided on an as is basis without warranty of any kind. 1760885081 is maintained by the National Plan & Provider Enumeration System. The contents of Leesa Boyer are for informational purposes only.