Breanna L Boyke

Individual provider Active NPI Home Health Aide · Prescott, MI

NPI 1306690730 · NPPES record last updated Apr 12, 2024

Key facts

NPI
1306690730
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
5369 Oakwood Dr
Prescott, MI 48756-9658
Phone
(989) 313-7369
NPI assigned
Apr 12, 2024
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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

5369 Oakwood Dr
Prescott, MI 48756-9658

Mailing address

5369 Oakwood Dr
Prescott, MI 48756-9658
Phone (989) 313-7369

Other providers in Prescott, MI

All providers in Prescott, MI · Home Health Aide in Michigan

Sources for this page

Verify at the official NPI Registry.