Boissonneault, Nino

Boissonneault, Nino is an individual health care provider with primary practice located at 307 S. 13Th Street, Suite 300 Skagit Regional Clinics - Cardiology, Mount Vernon WA 98274. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Boissonneault, Nino can be contacted via phone (360) 336-9757.

Contact Information

Primary practice address
307 S. 13Th Street, Suite 300 Skagit Regional Clinics - Cardiology Mount Vernon WA 98274
Phone: (360) 336-9757
Fax: (360) 814-5237
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60257982 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60257982 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60257982 Washington

Profile Details

NPI number 1881911105
LBN Legal business name Boissonneault, Nino
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2010
Last updated Feb 4th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881911105 NPPES
Washington MEDICAID 2016681

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