Individual
MRS. SHANEQUA BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(516) 333-5555
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
341543
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403688-01
NY
363LP2300X
Primary Care Nurse Practitioner
341543
NY
Other
Enumeration date
05/11/2017
Last updated
11/04/2024
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