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Contact Information

TYWANDA R BOSTON
4431 N 66TH ST
MILWAUKEE, WI53218-5510
 Phone: 414-378-4762
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for TYWANDA R BOSTON · (Female)

NPI # 1972828762
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2010
Last updated 05/01/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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