Nellie Lucille Boone, PA
NPI #1134317803 in Chewelah, Washington
Provider Information
- NPI Number
- 1134317803
- Entity Type
- Individual
- Name
- Nellie Lucille Boone, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Jun 3, 2016
Practice Location
- Address
- 500 E WEBSTER AVE
- City
- Chewelah
- State
- Washington
- ZIP Code
- 99109-9523
- Phone
- (509) 935-8211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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