Individual provider · Type 1 NPI
Allison Boardman
Pediatric Nurse Practitioner · Marietta, GA
NPI number
1902590102
Active
Practice location
1975 Lasalle Way
Marietta, GA 30062-8168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN275954 (GA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1902590102
Allison Boardman's National Provider Identifier is 1902590102, issued on Jun 8, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Marietta, GA. The record was last updated on Jun 8, 2023.