Provider Demographics
NPI:1760175087
Name:BOYCE, ANNA (DNP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:BOYCE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:BUCHHOLZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:9200 W WISCONSIN AVENUE
Mailing Address - Street 2:DIVISION OF ENDOCRINOLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-6550
Mailing Address - Fax:414-805-6565
Practice Address - Street 1:9200 W WISCONSIN AVENUE
Practice Address - Street 2:DIVISION OF ENDOCRINOLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-6550
Practice Address - Fax:414-805-6565
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI233639-30363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1760175087Medicaid