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Ashley Lauren Boonnam, FNP-BC
Nurse Practitioner in West Allis, Wisconsin
NPI 1417521501

Ashley Lauren Boonnam is a Nurse Practitioner based in West Allis, WI. Ashley Lauren Boonnam practices in West Allis, WI and has the professional credentials of FNP-BC. The NPI Number for Ashley Lauren Boonnam is 1417521501 and holds a License No. 10616-33 (Wisconsin).

The current practice location address for Ashley Lauren Boonnam is 8905 W Lincoln Ave Ste 501, West Allis, WI and can be reached out via phone at 414-978-2229 and via fax at 414-378-2279.

Location: 8905 W Lincoln Ave Ste 501, West Allis, WI, 53227-2470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417521501
Provider Name
Ashley Lauren Boonnam
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
8905 W Lincoln Ave Ste 501, West Allis, WI, 53227-2470
Phone Number
414-978-2229
Fax Number
414-378-2279
Provider Enumeration Date
05/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100178967 05 WI
institution
Provider Business Practice Location Address Details
Address
8905 W Lincoln Ave Ste 501
City
West Allis
State
Wisconsin
Zip
53227-2470
Phone Number
414-978-2229
Fax Number
414-378-2279
person
Provider Business Mailing Address Details
Address
8905 W Lincoln Ave Ste 501
City
West Allis
State
Wisconsin
Zip
53227-2470
Phone Number
414-978-2229
Fax Number
414-378-2279
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
10616 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
10616-33 (Wisconsin)
Definition
Definition to come...
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