NPI 1013631647

Elizabeth Revis Boone, NPC

Practitioner Contractor Fletcher, NC

Practice location

Address: 124 Roanoke Rd, Fletcher, NC 28732-7923
Phone: (828) 513-8604

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence BOON-V2YUI (NC)

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Registry record

NPI: 1013631647
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2022
Record last updated: 27 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.