Provider Demographics
NPI:1124613930
Name:BOYER, MOLLI (BA)
Entity type:Individual
Prefix:
First Name:MOLLI
Middle Name:
Last Name:BOYER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:MOLLI
Other - Middle Name:
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:209 FORTY MILE AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-3110
Mailing Address - Country:US
Mailing Address - Phone:907-456-6445
Mailing Address - Fax:
Practice Address - Street 1:209 FORTY MILE AVE
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-3110
Practice Address - Country:US
Practice Address - Phone:907-456-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker