Individual provider · Type 1 NPI
Philip Boadu, NP
Family Nurse Practitioner · Loganville, GA
NPI number
1992314439
Active
Practice location
4763 Atlanta Hwy Ste 420
Loganville, GA 30052-6788
Mailing address
452 Springlake Rd
Lawrenceville, GA 30046-5090
Other practice locations
- 140 Donizetti Pl Apt 18F, Bronx, NY 10475-2069 · (646) 226-7209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN-NP303104 (GA) |
| Nursing Care Agency | 251J00000X | 651299 (NY) |
| Primary Care Nurse Practitioner | 363LP2300X | F346860-01 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1992314439
Philip Boadu, NP's National Provider Identifier is 1992314439, issued on Jul 30, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Loganville, GA. The record was last updated on Oct 28, 2025.