NPI 1194252387
Alycne Boban
Practice location
- Address
- 59136 Kidd Rd, Glenwood, IA 51534-6130
- Phone
- (575) 621-9631
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1194252387
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 May 2017
- Record last updated
- 18 May 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.