Individual
PRECIOUS BOATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
5120 LEGACY DR, PLANO, TX 75024-3399
(469) 613-1722
Mailing address
7351 E LOWRY BLVD STE 200, DENVER, CO 80230-6083
(303) 731-8927
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1012173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012173
ANP LICENSE
TX
Enumeration date
02/02/2021
Last updated
02/02/2021
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