Individual
ANNA W. BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
233 GILMER ST, REIDSVILLE, NC 27320-3809
(336) 342-6196
(336) 349-7638
Mailing address
233 GILMER STREET, PO BOX 2899, REIDSVILLE, NC 27320-1069
(336) 342-6196
(336) 349-7638
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004551
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004530
—
NC
Enumeration date
12/14/2009
Last updated
08/11/2021
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