Individual
SHAREN BOHNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CPNP
Contact information
Practice address
4137 N 108TH AVE, PHOENIX, AZ 85037-5459
(623) 877-7337
Mailing address
4137 N 108TH AVE, PHOENIX, AZ 85037-5459
(623) 877-7337
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
125608
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
AP2080
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
935661
—
AZ
Enumeration date
09/27/2006
Last updated
06/29/2021
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