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NPI Code Detail

MEDICARE: CHRISTINE DIANE BOUGHNER FNP-C

MEDICARE: CHRISTINE DIANE BOUGHNER FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN.0992595-NPCO

General Provider Information

NPI Number : 1851834915
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE DIANE BOUGHNER FNP-C
Provider Business Mailing Address
First Line : PO BOX 932958
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2810 QUEBEC ST
Second Line :
City : DENVER
State : CO
Zip : 80207-2900
Country : US
Telephone Number : 303-370-5870
Fax Number : 303-370-5875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2016
Last Update Date : 04/23/2025

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Directions to “ CHRISTINE DIANE BOUGHNER FNP-C” Practice Location

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