Nellie Lucille Boone in Chewelah - Medical

Nellie Lucille Boone - NPI 1134317803

Nellie Lucille Boone is a Medical in Chewelah, Washington. Nellie Lucille Boone practices all healthcare services and medical treatments related to Medical. The NPI Number for Nellie Lucille Boone is 1134317803. The last update date is 2016-06-03.

Nellie Lucille Boone's current location address is 500 E Webster Ave, Chewelah, Washington. You can contact this provider via phone number 5099358211 and fax number 5099355257. The mailing address for Nellie Lucille Boone is 500 E Webster Ave, Chewelah, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Nellie Lucille Boone
Address 500 E Webster Ave, Chewelah, Washington
Phone Number 5099358211
Fax Number 5099355257
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1134317803
Provider Enumeration Date 2007-10-09
Last Updated Date 2016-06-03

Provider Mailing Address Detail

Address 500 E Webster Ave
City Chewelah
State Washington (WA)
Post Code 991099523
Phone Number 5099358211
Fax Number 5099355257

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No TA10005278
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00450010 WA RAIL ROAD MEDICARE

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FAQs about Nellie Lucille Boone

What is the unique 10-digit identification code issued to Nellie Lucille Boone by the Centers for Medicare & Medicaid Services?

The Nellie Lucille Boone has been assigned the NPI (National Provider Identifier) 1134317803 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Nellie Lucille Boone is located?

The Nellie Lucille Boone is situated at the following address: 500 E Webster Ave, Chewelah, WA, 991099523.

What is Nellie Lucille Boone's specialized field of practice, and what is the corresponding taxonomy classification code?

The Nellie Lucille Boone's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.

On what date was the 1134317803 assigned to Nellie Lucille Boone?

The Nellie Lucille Boone was issued its 1134317803 on 2007-10-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Nellie Lucille Boone's information last updated?

The Nellie Lucille Boone's information was last updated on 2016-06-03.

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