Individual provider · Type 1 NPI
Angela Boose, APRN-PMHNP
Psychiatric/Mental Health Nurse Practitioner · Dyer, IN
NPI number
1194329458
Active
Practice location
24 Joliet St
Dyer, IN 46311-1705
Fax (219) 864-2282
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Other practice locations
- 2600 Highway Ave, Highland, IN 46322-1613 · (219) 972-0131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28231278A (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71016038A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194329458
Angela Boose, APRN-PMHNP's National Provider Identifier is 1194329458, issued on Nov 27, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dyer, IN. The record was last updated on Jan 13, 2025.