Boger, Mary M

Boger, Mary M is an individual health care provider with primary practice located at 95 Bulldog Blvd. Suite 104, Melbourne FL 32901. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Boger, Mary M can be contacted via phone (321) 729-9493.

Contact Information

Primary practice address
95 Bulldog Blvd. Suite 104 Melbourne FL 32901
Phone: (321) 729-9493
Fax: (954) 851-1746
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ARNP9164912 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9164912 Florida

Profile Details

NPI number 1508952961
LBN Legal business name Boger, Mary M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Nov 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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