Keasia Boaz
Individual provider Active NPI Community Health Worker · Mount Morris, MI
NPI 1275314296 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1275314296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2304 W Frances Rd
Mount Morris, MI 48458-8229 - Phone
- (810) 547-7056
- NPI assigned
- Oct 6, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
2304 W Frances Rd
Mount Morris, MI 48458-8229
Mailing address
2304 W Frances Rd
Mount Morris, MI 48458-8229
Other providers in Mount Morris, MI
- Aniyah Arrington
- Heba Azzam
- Kim Baxter
- Deborah Ann Beals
- Beecher Pharmacy LLC
- Crecendra M Boone
- Dayzah Britton
- Keandria Brown
- Porsheonna Brown
- Raymond Brown Jr.
All providers in Mount Morris, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.