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MS. MARILYN L. BOOS APN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

Provider NPI: 1164513446

Provider Information:
MS. MARILYN L. BOOS APN
Gender: F
Not Sole Proprietor

Practice Location:
A.I. DUPONT HOSPITAL FOR CHILDREN 1600 ROCKLAND ROAD WILMINGTON, DE 19803-3607 US
Tel: 302-651-4000  Fax: 302-651-4945

Business Mailing Address:
PO BOX 191 PROVIDER ENROLLMENT DEPT ROCKLAND, DE 19732-0191 US
Tel: 302-651-6212  Fax: 302-651-4946

NPI Information:
NPI: 1164513446
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
DELW0000106
N363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
DELW0000106

Other Provider Identifiers:

IssuerNumberStateType
8756309NJ05



American Medical Association 2012 taxonomy code information

Code: 363L00000X

Type:

Classification:



Definition:



MEDICAL JOBS DE - Page 1

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