Most Relevant Information
Provider Data
| NPI Number: | 1003647439 |
| Provider Name: | JULIE MARIE BOIVIN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WA0400X |
| Specialty: | Registered Nurse |
| License Number: | 1101146 |
Most Important Dates
| Enumeration Date: | 08/08/2024 |
| Last Updated: | 08/08/2024 |
Provider Practice Location
4491 WAL VALLEY WAY
BOWLING GREEN
KY
421017373
Practice Location Phone/Fax
| Phone: | 2705352047 |
| Fax: |
Provider Mailing Location
4491 WAL VALLEY WAY # A
BOWLING GREEN
KY
421017373
Provider Mailing Phone/Fax
| Phone: | 2705352047 |
| Fax: |