Boyer, Wanda

Boyer, Wanda is an individual health care provider with primary practice located at 400 Parnassus Ave , San Francisco CA 94143-2202. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Boyer, Wanda can be contacted via phone (415) 353-2421.

Contact Information

Primary practice address
400 Parnassus Ave San Francisco CA 94143-2202
Phone: (415) 353-2421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2435 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13191 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13191 California

Profile Details

NPI number 1588655229
LBN Legal business name Boyer, Wanda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588655229 NPPES
Wisconsin MEDICAID 41250200

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