Alycne Boban, is a
Licensed Practical Nurse based in Glenwood, Iowa. Alycne Boban is licensed to practice in California (license number 684560) and her current practice location is
59136 Kidd Rd, Glenwood, Iowa. She can be reached at her office (for appointments etc.) via phone at
(575) 621-9631.
NPI number for Alycne Boban is 1194252387 and her current mailing address is 59136 Kidd Rd, Glenwood, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194252387.
Provider's Profile
Full Name | Alycne Boban |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 59136 Kidd Rd, Glenwood, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194252387
- Provider Enumeration Date: 05/18/2017
- Last Update Date: 05/18/2017
Medical Identifiers
Medical identifiers for Alycne Boban such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194252387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 684560 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alycne Boban is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alycne Boban, 59136 Kidd Rd, Glenwood, IA 51534-6130 Ph: () - | Alycne Boban, 59136 Kidd Rd, Glenwood, IA 51534-6130 Ph: (575) 621-9631 |
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