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Individual
MRS. ROBERTA BOON
Active
Individual
MRS. ROBERTA BOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.-B.C.
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1091692
KY
363LF0000X
Family Nurse Practitioner
1091692
KY
363LF0000X
Family Nurse Practitioner
Primary
AP8216
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087936
—
AZ
Enumeration date
07/16/2015
Last updated
06/20/2024
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