Doctor Name: | ELIZABETH G BOONE |
NPI Number: | 1366564593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 0001132310 |
Business Practice Address: | 1000 River Rd Suite 100 Conshohocken, PA - 194282439 |
Business Phone Number: | 6108342828 |
Business Fax Number: | 6108342862 |
Mailing Address: | 501 Sunset Ln, CULPEPER |
State: | VA |
Postal Code: | 227013917 |
Phone Number: | 5408294100 |
Fax Number: | 5408295713 |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0001132310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |