Kellie L Boeggeman in Irmo - Nurse Practitioner
Kellie L Boeggeman - NPI 1669662086
Kellie L Boeggeman is a Nurse Practitioner in Irmo, South Carolina. Kellie L Boeggeman practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kellie L Boeggeman is 1669662086. The last update date is 2021-02-23.
Kellie L Boeggeman's current location address is 1 Wellness Blvd, Irmo, South Carolina. You can contact this provider via phone number 8038882282 and fax number 8038882299. The mailing address for Kellie L Boeggeman is 1 Wellness Blvd, Irmo, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie L Boeggeman |
|---|---|
| Address | 1 Wellness Blvd, Irmo, South Carolina |
| Phone Number | 8038882282 |
| Fax Number | 8038882299 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1669662086 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2021-02-23 |
Provider Mailing Address Detail
| Address | 1 Wellness Blvd |
|---|---|
| City | Irmo |
| State | South Carolina (SC) |
| Post Code | 290632872 |
| Phone Number | 8038882282 |
| Fax Number | 8038882299 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 248427 |
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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 |
|---|---|---|---|
| 7006413 | NC | -- | |
| NP1310 | SC | -- |
Post Comment/ Review Below
What is the Kellie L Boeggeman's 1669662086?
The Kellie L Boeggeman's NPI (National Provider Identifier) Number is 1669662086. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kellie L Boeggeman's physical address?
The Kellie L Boeggeman is physically located at 1 Wellness Blvd, in the city of Irmo, SC, with the postal code 290632872.
What is Kellie L Boeggeman's area of expertise and its corresponding taxonomy classification?
The Kellie L Boeggeman's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kellie L Boeggeman receive its 1669662086 assignment from the Centers for Medicare & Medicaid Services?
The Kellie L Boeggeman was assigned its 1669662086 by the Centers for Medicare & Medicaid Services on 2007-08-01.
As of what date was the information pertaining to Kellie L Boeggeman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kellie L Boeggeman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-23.
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