DONNA LEE BOEHM ANP NPI 1255523973

NPI Information

Donna Lee Boehm, ANP is an adult health nurse practitioner in Stony Brook, NY with 23 years of experience. Donna Lee Boehm, ANP NPI is 1255523973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

1320 STONY BROOK RD STE 100
STONY BROOK, NY
ZIP 11790-222
Phone: (631) 941-2273
Fax: (631) 941-2501

The NPI 1255523973 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 8/16/2007 and was last updated on 12/7/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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