Individual
JOHNATHAN BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2489
(513) 862-1400
Mailing address
5705 NEPTUNE WAY, FAIRFIELD, OH 45014-5011
(513) 309-1182
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020833
OH
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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