MRS. ALICIA BOESGAARD


Address: 2939 Stillcrest Ln, Indianapolis, IN 46217-7047
Phone: 3174142542

MRS. ALICIA BOESGAARD (NPI# 1639598675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639598675
Entity Type Individual
Full Name MRS. ALICIA BOESGAARD
Credential RN
Practice Address 2939 Stillcrest Ln
Indianapolis
IN 46217-7047
Practice Telephone 3174142542
Mailing Telephone 3174142542
Enumeration Date 2014-04-07
Last Update Date 2014-04-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WE0003X Registered Nurse
Specialization: Emergency
28158689A IN Nursing Service Providers

Office Location

Street Address 2939 STILLCREST LN
City INDIANAPOLIS
State IN
Zip Code 46217-7047

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Taxonomy Information

Taxonomy Code 163WE0003X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Emergency

Taxonomy Definition

Definition to come...

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1508420035 Cynthia Diane Wathen Registered Nurse 720 Eskenazi Ave, Indianapolis, IN 46202-5187 2019-04-30
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Competitor

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City INDIANAPOLIS
Zip Code 46217

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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