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NPI Code Detail

MEDICARE: MS. MICHELLE F BOONE FNP

MEDICARE:  MS. MICHELLE F BOONE  FNP
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 PractitionerAP11405AZ

General Provider Information

NPI Number : 1023503042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE F BOONE FNP
Provider Business Mailing Address
First Line : 6101 N CALLE MATAMOROS
Second Line :
City : TUCSON
State : AZ
Zip : 85750-1261
Country : US
Telephone Number : 520-991-0066
Fax Number :
Provider Business Practice Location Address
First Line : 6226 E PIMA ST STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85712-7003
Country : US
Telephone Number : 520-298-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2018
Last Update Date : 06/22/2018

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Directions to “ MS. MICHELLE F BOONE FNP” Practice Location

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