Individual
CHANTELLE P BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1011 N GALLOWAY AVE # A2, MESQUITE, TX 75149-2433
(214) 320-7000
(580) 248-1725
Mailing address
1011 N GALLOWAY AVE, MESQUITE, TX 75149-2433
(214) 320-7190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP125560
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200124110A
—
OK
Enumeration date
07/18/2007
Last updated
02/10/2023
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