COLLINS BOAMPONG NPI 1225449622

NPI Information

NPI: 1225449622
Provider Name: COLLINS BOAMPONG
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
10935 TERRA VISTA PKWY APT 244
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 944-3205
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Collins Boampong is a family nurse practitioner in Rancho Cucamonga, CA with 10 years of experience. Collins Boampong NPI is 1225449622. 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:

10935 TERRA VISTA PKWY APT 244
RANCHO CUCAMONGA, CA
ZIP 91730-360
Phone: (909) 944-3205

The NPI 1225449622 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 5/19/2014 and was last updated on 10/19/2020.

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	NP950000655	CALIFORNIA	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: 4/28/2024

NPI Synchronization or Removal

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