KRISTINA MARIE BOODOO APRN NPI 1982347829

NPI Information

NPI: 1982347829
Provider Name: KRISTINA MARIE BOODOO, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1703 N MEMORIAL DR
LANCASTER, OH
ZIP 43130
Phone: (740) 653-6145
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Kristina Marie Boodoo, APRN is a family nurse practitioner in Lancaster, OH. Kristina Marie Boodoo, APRN NPI is 1982347829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1703 N MEMORIAL DR
LANCASTER, OH
ZIP 43130-634
Phone: (740) 653-6145

The NPI 1982347829 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 4/19/2022 and was last updated on 7/31/2023.

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	163W00000X	Registered Nurse		RN.485632	OHIO	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	RN.485632	OHIO	No
3	363LF0000X	Nurse Practitioner	Family	APRN.CNP.0032141	OHIO	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: 5/5/2024

NPI Synchronization or Removal

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