| Doctor Name: | ANGELA RENEE BOONE |
| NPI Number: | 1225454507 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP ADULT GERIATRIC |
| License Number: | 5006739 |
| Business Practice Address: | 405 Thompson St Eden, NC - 272885045 |
| Business Phone Number: | 3366274896 |
| Business Fax Number: | 3366270139 |
| Mailing Address: | 405 Thompson St, EDEN |
| State: | NC |
| Postal Code: | 272885045 |
| Phone Number: | 3366274896 |
| Fax Number: | 3366270139 |
| NPI Enumeration Date: | 03/11/2014 |
| NPI Last Update Date: | 03/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SG0600X |
| License Number: | 5006739 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |