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Individual

ANTHONY O BOXWELL

Active
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Individual

ANTHONY O BOXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00112401
WA
363L00000X
Nurse Practitioner
AP30003649
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP30003649
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0158755
L&I PIN
WA
01
21486U
REGENCE BLUE SHIELD PIN
WA
05
9633868
WA
Enumeration date
07/05/2006
Last updated
01/19/2022
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