Individual provider · NPI-1

Angeline Marie Boughner, CHW

Community Health Worker · Lansing, MI

NPI number1619730108
StatusActive
Last updated in NPPESFeb 6, 2024

Details

NPI
1619730108
Entity type
Individual (NPI-1)
Name
Mrs. Angeline Marie Boughner
Credential
CHW
Sex
Female
Sole proprietor
No
Enumeration date
Feb 6, 2024
Certification date
Dec 28, 2023
Last updated
Feb 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker–MIYes

Practice location

2316 S Cedar St
Lansing, MI 48910-3152

Phone 517-702-3508

Mailing address

5632 Wise Rd
Lansing, MI 48911-3411

Phone 517-243-5899

Other practice locations

1601 E Kalamazoo St
Lansing, MI 48912-2701

Phone 517-679-2880

812 E Jolly Rd
Lansing, MI 48910-6818

Phone 517-244-8030

5303 S Cedar St
Lansing, MI 48911-3800

Phone 517-887-3800

626 Marshall St Ste 800
Lansing, MI 48912-2309

Phone 517-244-8014

3900 Stabler St Rm 7
Lansing, MI 48910-4567

Phone 517-272-4104

333 Dahlia Dr Rm E315
Lansing, MI 48911-3789

Phone 517-272-4115

430 N Larch St Ste 1
Lansing, MI 48912-1283

Phone 514-887-4400

815 N Fairview Ave Rm 100
Lansing, MI 48912-3129

Phone 517-887-4349

102 Mcpherson Ave
Lansing, MI 48915-1760

Phone 517-244-8041

1115 S Pennsylvania Ave
Lansing, MI 48912-1669

Phone 517-702-3500

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