MANDY MARIE BOEHNERT LPN NPI 1992467955

NPI Information

  • NPI: 1992467955
  • Provider Name: MANDY MARIE BOEHNERT, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 200 SEABURY DR
    BLOOMFIELD, CT
    ZIP 06002
  • Phone: (860) 243-4022

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NPI Details

Mandy Marie Boehnert, LPN is a licensed practical nurse in Bloomfield, CT. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Mandy Marie Boehnert, LPN NPI is 1992467955. 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:

200 SEABURY DR
BLOOMFIELD, CT
ZIP 06002-618
Phone: (860) 243-4022

The enumeration date for this NPI number is 10/7/2021 and was last updated on 10/7/2021.

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
1164W00000XLicensed Practical Nurse035656CONNECTICUTYes

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
1075383OTHERCONNECTICUTCCN

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: 3/30/2025

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