Individual provider · Type 1 NPI

Mia Boren

Licensed Practical Nurse · Kennett, MO

NPI number 1235862350 Active

Practice location

1226 Independence Ave
Kennett, MO 63857-1316

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLTP009806 (AR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1235862350

Mia Boren's National Provider Identifier is 1235862350, issued on Jul 6, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kennett, MO. The record was last updated on Jul 6, 2022.