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Allyssa Boddy, NP-C
Family Nurse Practitioner in Walled Lake, Michigan
NPI 1720562010

Allyssa Boddy is a Family Nurse Practitioner based in Walled Lake, MI and is specialized in Family. Allyssa Boddy practices in Walled Lake, MI and has the professional credentials of NP-C. The NPI Number for Allyssa Boddy is 1720562010 and holds a License No. 4704292285 (Michigan).

The current practice location address for Allyssa Boddy is 100 W West Maple Rd, Walled Lake, MI and can be reached out via phone at 866-389-2727.

Location: 100 W West Maple Rd, Walled Lake, MI, 48390-3402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720562010
Provider Name
Allyssa Boddy
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
100 W West Maple Rd, Walled Lake, MI, 48390-3402
Phone Number
866-389-2727
Fax Number
Provider Enumeration Date
09/21/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704292285NSA180VY 05 MI
institution
Provider Business Practice Location Address Details
Address
100 W West Maple Rd
City
Walled Lake
State
Michigan
Zip
48390-3402
Phone Number
866-389-2727
Fax Number
person
Provider Business Mailing Address Details
Address
100 W West Maple Rd
City
Walled Lake
State
Michigan
Zip
48390-3402
Phone Number
866-389-2727
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704292285 (Michigan)
Definition
Definition to come...
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