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Contact Information

MAR LYN L BOAM
817 W 950 S
BRIGHAM CITY, UT84302-3071
 Phone: 435-695-2077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MAR LYN L BOAM · (Female)

NPI Number 1134784846
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2019
Last updated 05/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 372162-3102
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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