Active NPIIndividual provider

Nicole L Boone, PA

Physician Assistant, Surgical in Hartford, Connecticut

NPI Number1013354224
Practice location
282 Washington St, Hartford, CT 06106-3322
Fax
—
Last updated
January 15, 2020

Nicole Lynn Boone is a Physician Assistant, Surgical based in Hartford, CT. Nicole Lynn Boone practices in Hartford, CT and has the professional credentials of PA. The NPI Number for Nicole Lynn Boone is 1013354224 and holds a License No. PA5678 (MA). The current practice location address for Nicole Lynn Boone is 282 Washington St, Hartford, CT 06106-3322 and can be reached out via phone at 860-545-9000.

Provider Profile Details

NPI Number
1013354224
Provider Name
Nicole Lynn Boone
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
282 Washington St, Hartford, CT 06106-3322
Phone Number
860-545-9000
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
May 29, 2013
Last Update Date
January 15, 2020
Certification Date
January 15, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
282 Washington St
Hartford, CT 06106-3322
Zip
06106-3322
Phone Number
860-545-9000
Hartford, CT 06106Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut Street
2ND Fl
Springfield, MA 01199-1001
City
Springfield
State
MA
Zip
01199-1001
Phone Number
413-794-3909
Fax Number
413-794-1629

License Information

License Number (1)
PA5678
License State (1)
MA
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X · Primary
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole L Boone, PA?

The NPI number of Nicole L Boone, PA is 1013354224. It was assigned on May 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Nicole L Boone, PA?

Nicole L Boone, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA5678.

Where does Nicole L Boone, PA practice?

The practice location is 282 Washington St, Hartford, CT 06106-3322. The office can be reached at 860-545-9000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013354224 directly on the NPPES registry website.

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