Individual provider · Type 1 NPI

Collins Boampong

Family Nurse Practitioner · Rancho Cucamonga, CA

NPI number 1225449622 Active

Practice location

10935 Terra Vista Pkwy Apt 244
Rancho Cucamonga, CA 91730-6360

Call (909) 944-3205 Map

Mailing address

1805 Medical Center Dr
San Bernardino, CA 92411-1217

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP950000655 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1225449622

Collins Boampong's National Provider Identifier is 1225449622, issued on May 19, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Oct 19, 2020.