# DR. MICHELLE DELORES BOOSE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1922268978
- **Gender:** F
- **Credential:** M.D., M.P.H.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101258063 | VA | — |
| 207Q00000X | Family Medicine Physician | 2015-01035 | NC | Yes |
| 207Q00000X | Family Medicine Physician | 35095053 | OH | — |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 12/09/2025