Provider Demographics
NPI:1457623134
Name:BOYER, AMY L
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:BOYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-3210
Mailing Address - Country:US
Mailing Address - Phone:307-922-4118
Mailing Address - Fax:307-742-6572
Practice Address - Street 1:505 MEADOW DR
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-3210
Practice Address - Country:US
Practice Address - Phone:307-922-4118
Practice Address - Fax:307-742-6572
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator