| Micheal E Boles, PHD APRN BC | |
|
Po Box 388, Celina, TN 38551-0388 | |
| (931) 243-3860 | |
| (931) 243-4607 |
| Full Name | Micheal E Boles |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | Po Box 388, Celina, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033216569 | NPI | - | NPPES |
| 4343158 | Other | TN | BCTN |
| 1511326 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN6428 (Tennessee) | Primary |
| Entity Name | Amg-livingston Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699869297 PECOS PAC ID: 1052225760 Enrollment ID: O20031120000923 |
| Entity Name | Crmc Mso Sub 1 Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972648319 PECOS PAC ID: 1052332830 Enrollment ID: O20051208000043 |
| Entity Name | App Of Tennessee Hm, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
| Mailing Address | Practice Location Address |
|---|---|
| Micheal E Boles, PHD APRN BC Po Box 427, Celina, TN 38551-0427 Ph: (931) 243-3860 | Micheal E Boles, PHD APRN BC Po Box 388, Celina, TN 38551-0388 Ph: (931) 243-3860 |
Gabriel Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Guffey St, Celina, TN 38551 Phone: 931-243-2651 | |
Mr. Ronnie Raines, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Old Jefferson Street, Celina, TN 38551 Phone: 931-243-3581 | |
Greda Cherry, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Doctors Dr, Celina, TN 38551 Phone: 931-243-3860 Fax: 931-243-4607 |