Stacey M Boswell, PA Valid NPI
Individual provider · Physician Assistant · Fort Wayne, IN
- NPI
- 1114268125
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 10001506A (IN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-03-15
- Last updated
- 2022-12-05
Practice location
11141 Parkview Plaza Dr Ste 305
Fort Wayne, IN 46845-1715
(260) 266-8900