Provider Demographics
NPI:1235641812
Name:BOOZER-FELDER, CHRISONYA NICOLE
Entity Type:Individual
Prefix:
First Name:CHRISONYA
Middle Name:NICOLE
Last Name:BOOZER-FELDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 WEXFORD ST
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-9388
Mailing Address - Country:US
Mailing Address - Phone:910-977-2326
Mailing Address - Fax:
Practice Address - Street 1:422 WEXFORD ST
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-9388
Practice Address - Country:US
Practice Address - Phone:910-977-2326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-03
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health