Provider Demographics
NPI:1477335701
Name:BOONE, EILEEN HOWARD (NBC-HWC)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:HOWARD
Last Name:BOONE
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LITTLE LN
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-4779
Mailing Address - Country:US
Mailing Address - Phone:401-524-7871
Mailing Address - Fax:
Practice Address - Street 1:5 LITTLE LN
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-4779
Practice Address - Country:US
Practice Address - Phone:401-524-7871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach