Individual
MR. NICHOLAS RYAN BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5439 AIRLINE HWY, BATON ROUGE, LA 70805-1712
(225) 358-4853
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0001
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09996
LA
Other
Enumeration date
06/26/2018
Last updated
01/18/2021
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