Individual
MS. MARILYN ANN BOOGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
615 CUMBERLAND ST, LEBANON, PA 17042-5233
(717) 273-6741
(717) 273-6337
Mailing address
615 CUMBERLAND ST, LEBANON, PA 17042-5233
(717) 273-6741
(717) 273-6337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
VP004036B
PA
Other
Enumeration date
01/27/2012
Last updated
04/04/2014
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