Erika Lynn Boedeker, M.A.
Individual provider Active NPI Nurse's Aide · Beaver, OH
NPI 1972883775 · NPPES record last updated Aug 24, 2011
Key facts
- NPI
- 1972883775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 7418 State Route 335
Beaver, OH 45613-9749 - Phone
- (740) 207-9548
- NPI assigned
- Aug 24, 2011
- 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
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
7418 State Route 335
Beaver, OH 45613-9749
Mailing address
7418 State Route 335
Beaver, OH 45613
Phone (740) 207-9548
Other providers in Beaver, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2011. 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.