Individual provider · Type 1 NPI

Agnes Boehning, APN-FNP

Family Nurse Practitioner · Centralia, IL

NPI number 1821134115 Active

Practice location

819 E Mccord St
Centralia, IL 62801-3044

Call (618) 533-1313 Map

Fax (618) 533-3711

Mailing address

4117 S Water Tower Pl, Suite D
Mount Vernon, IL 62864-6567

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209003194 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1821134115

Agnes Boehning, APN-FNP's National Provider Identifier is 1821134115, issued on Jan 30, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Centralia, IL. The record was last updated on Feb 25, 2011.