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Ms. Theresa Boaz, NP
Family Nurse Practitioner in Forsyth, Illinois
NPI 1891762530

Theresa Boaz is a Family Nurse Practitioner based in Forsyth, IL and is specialized in Family. Theresa Boaz practices in Forsyth, IL and has the professional credentials of NP. The NPI Number for Theresa Boaz is 1891762530 and holds a License No. 209003875 (Illinois).

The current practice location address for Theresa Boaz is 845 S Route 51, Forsyth, IL and can be reached out via phone at 217-875-0953.

Location: 845 S Route 51, Forsyth, IL, 62535-9809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891762530
Provider Name
Theresa Boaz
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
845 S Route 51, Forsyth, IL, 62535-9809
Phone Number
217-875-0953
Fax Number
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
845 S Route 51
City
Forsyth
State
Illinois
Zip
62535-9809
Phone Number
217-875-0953
Fax Number
person
Provider Business Mailing Address Details
Address
845 S Route 51
City
Forsyth
State
Illinois
Zip
62535-9809
Phone Number
217-875-0953
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209003875 (Illinois)
Definition
Definition to come...
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