IndividualActive
Angela Boose, APRN-PMHNP
NPI 1194329458 · Psychiatric/Mental Health Nurse Practitioner · Dyer, IN
Provider details
- NPI number
- 1194329458
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 28231278A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
24 Joliet St
Dyer, IN 46311-1705
Phone: (219) 322-5747
Fax: (219) 864-2282
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 781076
Detroit, MI 48278-1076
Additional practice locations (1)
- 2600 Highway AveHighland, IN 46322-1613Phone: (219) 972-0131
Registry dates
- Enumerated
- 2020-11-27
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.