Individual
LAUANE BOONCHUILIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5737
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5737
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN2268126
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2268126
MA
Other
Enumeration date
09/16/2019
Last updated
02/22/2023
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