Individual
ANGELA RENEE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP ADULT GERIATRIC
Contact information
Practice address
405 THOMPSON ST, EDEN, NC 27288-5045
(336) 627-4896
(336) 627-0139
Mailing address
405 THOMPSON ST, EDEN, NC 27288-5045
(336) 627-4896
(336) 627-0139
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5006739
NC
364SG0600X
Gerontology Clinical Nurse Specialist
5006739
NC
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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