Individual provider · Type 1 NPI

Phyllis Diane Boone, N.P.

Nurse Practitioner · Grand Rapids, MI

NPI number 1477838845 Active

Practice location

3600 E Fulton
Grand Rapids, MI 49546-1322

Call (616) 949-4971 Map

Mailing address

PO Box 3140
Grand Rapids, MI 49501-3140

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704108827 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1477838845

Phyllis Diane Boone, N.P.'s National Provider Identifier is 1477838845, issued on Oct 18, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 18, 2011.