Individual
MISS GABRIELLE ELIZABETH BOEHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
20 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 522-5220
Mailing address
207 BLECKLEY AVE, GREENVILLE, SC 29607-2842
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
240376
TN
163WP0200X
Pediatric Registered Nurse
Primary
271788
SC
163WP2201X
Ambulatory Care Registered Nurse
271788
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
158898
SC
Other
Enumeration date
01/05/2024
Last updated
05/05/2026
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