Healthcare Provider Details

I. General information

NPI: 1982685079
Provider Name (Legal Business Name): ANNE MCKEE POHNERT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE MCKEE BOARDMAN MSN, FNP-BC

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 E CENTRAL ST MINUTECLINIC
FRANKLIN MA
02038-1319
US

IV. Provider business mailing address

52 WHITEHALL WAY
BELLINGHAM MA
02019-1875
US

V. Phone/Fax

Practice location:
  • Phone: 703-424-1302
  • Fax:
Mailing address:
  • Phone: 508-883-0319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001168356
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024167400
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2290577
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2290577
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: