Angela Boose, APRN-PMHNP | |
24 Joliet St, Dyer, IN 46311-1705 | |
(219) 322-5747 | |
(219) 864-2282 |
Full Name | Angela Boose |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 24 Joliet St, Dyer, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194329458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28231278A (Indiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71016038A (Indiana) | Primary |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
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Angela Boose, APRN-PMHNP Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Angela Boose, APRN-PMHNP 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 322-5747 |
Angela M Purcell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Joliet St, Dyer, IN 46311 Phone: 219-440-7340 | |
Mrs. Milica Ivanov, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1532 Calumet Ave, Dyer, IN 46311 Phone: 219-515-4700 | |
Jessica Rae Delgado, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Lady Margarette Tan, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1462 Knighthood Dr, Dyer, IN 46311 Phone: 508-542-5129 | |
Scott T Fairhurst, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Jaclyn Gale Seremet, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 Richard Rd Ste 2, Dyer, IN 46311 Phone: 219-322-1450 Fax: 219-322-8260 | |
Lisa O'keefe, R.N., A.G.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 |