Theresa M Boley is a Family in Springfield, Illinois. Theresa M Boley practices all healthcare services and medical treatments related to Family. The NPI Number for Theresa M Boley is 1184605743. The last update date is 2012-10-24.
Theresa M Boley's current location address is Po Box 19638, Springfield, Illinois. You can contact this provider via phone number 2175457422 and fax number 2175457053. The mailing address for Theresa M Boley is Po Box 19638, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa M Boley |
|---|---|
| Address | Po Box 19638, Springfield, Illinois |
| Phone Number | 2175457422 |
| Fax Number | 2175457053 |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1184605743 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2012-10-24 |
Provider Mailing Address Detail
| Address | Po Box 19638 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949638 |
| Phone Number | 2175457422 |
| Fax Number | 2175457053 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 209000839 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 449580260001 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Theresa M Boley by the Centers for Medicare & Medicaid Services?
The Theresa M Boley has been issued the NPI (National Provider Identifier) 1184605743, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Theresa M Boley?
The Theresa M Boley is physically situated at Po Box 19638, in the city of Springfield, state of IL, with the postal code 627949638.
What is the area of specialization for Theresa M Boley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Theresa M Boley is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184605743 to Theresa M Boley?
The Centers for Medicare & Medicaid Services assigned the 1184605743 to Theresa M Boley on 2005-11-10.
As of what date was the information pertaining to Theresa M Boley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Theresa M Boley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-10-24.