Individual
CHANEL BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5001 W BROAD ST, RICHMOND, VA 23230-3005
(804) 282-5421
Mailing address
5001 W BROAD ST, RICHMOND, VA 23230-3005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024189389
VA
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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