Individual
ANNA M BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2412 RING RD STE 200, ELIZABETHTOWN, KY 42701-5913
(502) 588-3650
(502) 588-7852
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 559-9407
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71011627A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
3016838
KY
Other
Enumeration date
09/28/2021
Last updated
01/09/2024
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