Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 110974 | NE |
N | 363LA2100X | Nurse Practitioner - Acute Care | 110974 | NE |
NPI | 1023267390 |
---|---|
Provider Name | Mrs. Christina Corinne Boje |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68198-8102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2008 |
Last Update Date | 13/08/2012 |