Shelly S Boone in Wabash - Nurse Practitioner
Shelly S Boone - NPI 1093722613
Shelly S Boone is a Nurse Practitioner in Wabash, Indiana. Shelly S Boone practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shelly S Boone is 1093722613. The last update date is 2022-10-17.
Shelly S Boone's current location address is 1025 Machester Ave, Wabash, Indiana. You can contact this provider via phone number 2605637421 and fax number 2605637725. The mailing address for Shelly S Boone is 1025 Machester Ave, Wabash, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly S Boone |
|---|---|
| Address | 1025 Machester Ave, Wabash, Indiana |
| Phone Number | 2605637421 |
| Fax Number | 2605637725 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1093722613 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2022-10-17 |
Provider Mailing Address Detail
| Address | 1025 Machester Ave |
|---|---|
| City | Wabash |
| State | Indiana (IN) |
| Post Code | 469921496 |
| Phone Number | 2605637421 |
| Fax Number | 2605637725 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 28144111A |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21358 | IN | PHP | |
| 200842600 | IN | -- | |
| 504327 | IN | BCBS |
Post Comment/ Review Below
What is the Shelly S Boone's unique identification number?
The Shelly S Boone has been assigned the NPI (National Provider Identifier) Number 1093722613 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Shelly S Boone is geographically located?
The Shelly S Boone is physically situated at the following location: 1025 Machester Ave, Wabash, IN, 469921496.
What is Shelly S Boone's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shelly S Boone is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093722613 to Shelly S Boone?
The Centers for Medicare & Medicaid Services assigned the 1093722613 to Shelly S Boone on 2006-08-03.
As of what date were the details pertaining to Shelly S Boone last refreshed?
The information related to the Shelly S Boone, including its address, specialty, and other relevant details, was last updated on 2022-10-17.