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Kellie L Boeggeman, ARNP
Nurse Practitioner in Irmo, South Carolina
NPI 1669662086

Kellie L Boeggeman is a Nurse Practitioner based in Irmo, SC. Kellie L Boeggeman practices in Irmo, SC and has the professional credentials of ARNP. The NPI Number for Kellie L Boeggeman is 1669662086 and holds a License No. 248427 (South Carolina).

The current practice location address for Kellie L Boeggeman is 1 Wellness Blvd Ste 106, Irmo, SC and can be reached out via phone at 803-888-2282 and via fax at 803-888-2299. You can also correspond with Kellie L Boeggeman through the mailing address at 1 WELLNESS BLVD, IRMO, SC - 29063-2872 (mailing address contact number: 803-888-2282).

Location: 1 Wellness Blvd Ste 106, Irmo, SC, 29063-2872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669662086
Provider Name
Kellie L Boeggeman
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1 Wellness Blvd Ste 106, Irmo, SC, 29063-2872
Phone Number
803-888-2282
Fax Number
803-888-2299
Provider Enumeration Date
08/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7006413 05 NC
NP1310 05 SC
institution
Provider Business Practice Location Address Details
Address
1 Wellness Blvd Ste 106
City
Irmo
State
South Carolina
Zip
29063-2872
Phone Number
803-888-2282
Fax Number
803-888-2299
person
Provider Business Mailing Address Details
Address
1 Wellness Blvd
City
Irmo
State
South Carolina
Zip
29063-2872
Phone Number
803-888-2282
Fax Number
803-888-2299
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
9165739 (Florida)
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.
248427 (North Carolina)
Definition
Definition to come...
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