Kathey Dianne Boeckmann, A.P.N.
Nurse Practitioner, Women's Health in Wynne, AR. Individual provider (NPI-1).
NPI number1346284841
StatusActive
Last updated in NPPESSep 13, 2012
Details
- NPI
- 1346284841
- Entity type
- Individual (NPI-1)
- Name
- Kathey Dianne Boeckmann
- Credential
- A.P.N.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2006
- Last updated
- Sep 13, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | A01022 | AR | Yes |
Practice location
704 Canal Ave EWynne, AR 72396-3042
Phone 870-239-2101 · Fax 870-238-4569
Mailing address
21 County Road 628Wynne, AR 72396-8424
Phone 870-588-5256 · Fax 870-238-4569
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