Boone, Susan Louella
Boone, Susan Louella is an individual health care provider with primary practice located at 1717 N Ed Carey Dr , Harlingen TX 78550-8203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Boone, Susan Louella can be contacted via phone (956) 423-4030.Contact Information
Primary practice address
1717 N Ed Carey Dr
Harlingen TX 78550-8203
Phone: (956) 423-4030
Fax: (956) 423-9188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 603637 | Texas |
Profile Details
| NPI number | 1649273111 |
|---|---|
| LBN Legal business name | Boone, Susan Louella |
| Credentials | RN,CNM,MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Dec 4th, 2020 - about 5 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 | 1649273111 | NPPES |
| Texas | MEDICAID | 1732604-01 |
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