Individual provider · Type 1 NPI
Annie Nicole Boehm
Emergency Registered Nurse · Los Gatos, CA
NPI number
1780514950
Active
Practice location
135 Riviera Dr Apt 243
Los Gatos, CA 95032-7306
Mailing address
2500 Grant Rd
Mountain View, CA 94040-4302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 95114894 (CA) |
Emergency Registered Nurse: Definition to come...
About NPI 1780514950
Annie Nicole Boehm's National Provider Identifier is 1780514950, issued on May 20, 2026. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Los Gatos, CA. The record was last updated on May 20, 2026.