Boone, Amy Braun
Boone, Amy Braun is an individual health care provider with primary practice located at 19521 22Nd Ave Nw , Shoreline WA 98177-2319. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Boone, Amy Braun can be contacted via phone (206) 542-7408.Contact Information
Primary practice address
19521 22Nd Ave Nw
Shoreline WA 98177-2319
Phone: (206) 542-7408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP30004314 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP30004314 | Washington |
Profile Details
| NPI number | 1124198767 |
|---|---|
| LBN Legal business name | Boone, Amy Braun |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124198767 | NPPES |
| Washington | MEDICAID | 9602756 |
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