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Individual

ANNA W. BOONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP-BC

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
Update your record

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