Provider Demographics
NPI:1013217298
Name:BOEHNING, ANNIE P (RN, NP, PHN, DNP)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:P
Last Name:BOEHNING
Suffix:
Gender:F
Credentials:RN, NP, PHN, DNP
Other - Prefix:DR
Other - First Name:ANNIE
Other - Middle Name:P
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, NP, PHN, DNP
Mailing Address - Street 1:10007 SKILES DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3033
Mailing Address - Country:US
Mailing Address - Phone:661-472-8688
Mailing Address - Fax:
Practice Address - Street 1:9001 STOCKDALE HWY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1022
Practice Address - Country:US
Practice Address - Phone:661-654-2658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP19971363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily