Boon, Roberta

Boon, Roberta is an sole proprietor health care provider with primary practice located at 2355 N Wyatt Dr Ste 101 , Tucson AZ 85712-2120. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Boon, Roberta can be contacted via phone (520) 616-4948.

Contact Information

Primary practice address
2355 N Wyatt Dr Ste 101 Tucson AZ 85712-2120
Phone: (520) 616-4948
Fax: (520) 616-4958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 1091692 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1091692 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP8216 Arizona

Profile Details

NPI number 1942684253
LBN Legal business name Boon, Roberta
Credentials F.N.P.-B.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2015
Last updated Jun 20th, 2024 - about last year

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 1942684253 NPPES
Arizona MEDICAID 087936

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