MR. NICHOLAS RYAN BOONE NP NPI 1245725837

NPI Information

NPI: 1245725837
Provider Name: MR. NICHOLAS RYAN BOONE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

PECOS Registration: Yes

Address:
5439 AIRLINE HWY
BATON ROUGE, LA
ZIP 70805
Phone: (225) 358-4853
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MR. Nicholas Ryan Boone, NP is a family nurse practitioner in Baton Rouge, LA with 6 years of experience. MR. Nicholas Ryan Boone, NP NPI is 1245725837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5439 AIRLINE HWY
BATON ROUGE, LA
ZIP 70805-712
Phone: (225) 358-4853

The NPI 1245725837 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2018 and was last updated on 1/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP09996	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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