Wellformed AI

NPI 1447922547 · live from the CMS NPI Registry

Anna M Boone, APRN

Nurse Practitioner, Pediatrics in Elizabethtown, KY. National Provider Identifier 1447922547, active.

NPI record

NPI1447922547 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location2412 Ring Rd Ste 200, Elizabethtown, KY 42701
Practice phone502-588-3650
Mailing addressPo Box 776879, Chicago, IL 60677
EnumeratedSeptember 28, 2021
Last updatedJanuary 9, 2024
Sole proprietorNo
Other namesAnna Bardgett

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X3016838 (KY)
Nurse Practitioner363L00000X71011627A (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.