Boney, Madelyn E

Boney, Madelyn E is an individual health care provider with primary practice located at 2219 Garfield St , Two Rivers WI 54241-2416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Boney, Madelyn E can be contacted via phone (920) 793-2281.

Contact Information

Primary practice address
2219 Garfield St Two Rivers WI 54241-2416
Phone: (920) 793-2281
Fax: (920) 793-2281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 14467-033 Wisconsin

Profile Details

NPI number 1144006560
LBN Legal business name Boney, Madelyn E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2023
Last updated Dec 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144006560 NPPES
Wisconsin MEDICAID 100253059

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