Individual
MR. JOSEPH MATTHEW BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1199 MAIN ST, FAIRFAX, VT 05454-9530
(802) 849-2844
Mailing address
224 STEVENS MILLS SLIDE RD, RICHFORD, VT 05476-9690
(802) 849-2844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0093988
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021645
—
VT
Enumeration date
03/29/2013
Last updated
04/29/2014
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