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

TaxonomyCodeLicense
Registered Nurse 163W00000X28231278A (IN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71016038A (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.