Boone, Shanequa

Boone, Shanequa is an sole proprietor health care provider with primary practice located at 9900 Bren Rd E , Minnetonka MN 55343-9664. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Boone, Shanequa can be contacted via phone (516) 333-5555.

Contact Information

Primary practice address
9900 Bren Rd E Minnetonka MN 55343-9664
Phone: (516) 333-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 341543 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 341543 New York

Profile Details

NPI number 1174059919
LBN Legal business name Boone, Shanequa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2017
Last updated Jun 26th, 2020 - about 4 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.

Request for update

Popular Providers