Individual
CORRIE LYNN BOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
149771-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
4827
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35037700
—
WI
Enumeration date
10/29/2007
Last updated
11/06/2025
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