Individual
BOYOUNG SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
815 E LOCUST ST, DAVENPORT, IA 52803-4345
(563) 324-3276
Mailing address
815 E LOCUST ST, DAVENPORT, IA 52803-4345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A178322
IA
363LF0000X
Family Nurse Practitioner
209031101
IL
363LF0000X
Family Nurse Practitioner
Primary
A178322
IA
Other
Enumeration date
02/21/2024
Last updated
01/13/2025
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