Individual provider · Type 1 NPI

Lauren Boles

Nurse Practitioner · Fort Wayne, IN

NPI number 1235633876 Active

Practice location

1818 Carew St Ste 255
Fort Wayne, IN 46805-4790

Fax (260) 458-5913

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28207858A (IN)
Nurse Practitioner Primary 363L00000X71007946A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1235633876

Lauren Boles's National Provider Identifier is 1235633876, issued on Mar 20, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 11, 2022.