Veronica Lou Boone
Individual provider Active NPI Licensed Practical Nurse · Clio, MI
NPI 1407313141 · NPPES record last updated Mar 1, 2019
Key facts
- NPI
- 1407313141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703076390 (MI)
- Practice address
- 11514 N Belsay Rd
Clio, MI 48420-9756 - Phone
- (810) 730-3204
- NPI assigned
- Mar 1, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703076390 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703076390 | MI | Yes |
Addresses
Primary practice location
11514 N Belsay Rd
Clio, MI 48420-9756
Mailing address
11514 N Belsay Rd
Clio, MI 48420-9756
Other providers in Clio, MI
- Margaret Marie Blasdell
- Jennifer Lynn Bobeda-Berney
- Erin Boensch
- Mary Bontumasi
- Scott C Bonzheim
- Borden S Family Pharmacy LLC
- Borden S Family Pharmacy LLC
- Bordens Pharmacy Inc
- Montana Boris
- Kailee Amber Brandt
All providers in Clio, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.