Boodhwani, Shannon

Boodhwani, Shannon is an individual health care provider with primary practice located at 2450 Goodlette-Frank Rd N Ste 101 , Naples FL 34103-4595. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Boodhwani, Shannon can be contacted via phone (239) 624-8470.

Contact Information

Primary practice address
2450 Goodlette-Frank Rd N Ste 101 Naples FL 34103-4595
Phone: (239) 624-8470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11018802 Florida

Profile Details

NPI number 1841739018
LBN Legal business name Boodhwani, Shannon
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2017
Last updated Mar 14th, 2024 - about 2 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 1841739018 NPPES
Florida MEDICAID 114708500
Florida Other MI6GD

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