AMY BRAUN BOONE ARNP NPI 1124198767

NPI Information

NPI: 1124198767
Provider Name: AMY BRAUN BOONE, ARNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
19521 22ND AVE NW
SHORELINE, WA
ZIP 98177
Phone: (206) 542-7408
Get Directions

Amy Braun Boone, ARNP is a pediatrics nurse practitioner in Shoreline, WA. Amy Braun Boone, ARNP NPI is 1124198767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19521 22ND AVE NW
SHORELINE, WA
ZIP 98177-319
Phone: (206) 542-7408

The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	AP30004314	WASHINGTON	Yes
2	363LW0102X	Nurse Practitioner	Women's Health	AP30004314	WASHINGTON	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S70428	MEDICARE UPIN	WASHINGTON
2	9602756	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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