Individual
MRS. ELIZABETH ANN BOISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7037 SAINT ANDREWS RD, COLUMBIA, SC 29212-1177
(803) 732-0963
(803) 732-1406
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN 284
SC
363LF0000X
Family Nurse Practitioner
Primary
284
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51524
RN LICENSE
SC
Enumeration date
05/17/2007
Last updated
10/13/2020
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