Individual
MRS. SHANA BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 962-8000
Mailing address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
088330
NC
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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