Susan M Boyer, LPN
Individual provider Active NPI Licensed Practical Nurse · Malta, OH
NPI 1679755441 · NPPES record last updated Dec 3, 2007
Key facts
- NPI
- 1679755441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN078330 (OH)
- Practice address
- 4275 Echo Hill Rd
Malta, OH 43758-9704 - Phone
- (740) 962-6563
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN078330 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN078330 | OH | Yes |
Addresses
Primary practice location
4275 Echo Hill Rd
Malta, OH 43758-9704
Mailing address
4275 Echo Hill Rd
Malta, OH 43758-9704
Phone (740) 962-6563
Other providers in Malta, OH
- Brandy Bailey
- Gary Beagle
- Eric Bennett
- Douglas William Bobst Jr.
- Cody Bowen
- Kimberly Brannon
- Susan Eileen Bunner
- Cody Cain
- Mandi Cheadle
- Paula Click
All providers in Malta, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2007. 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.