Individual
LOUVENIA BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1219
(704) 379-5765
Mailing address
7424 NEWMANS LN, CHARLOTTE, NC 28270-6001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
15259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050040
—
NC
Enumeration date
08/12/2006
Last updated
07/08/2007
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