Provider Demographics
NPI:1952962623
Name:BOONE, EMILY-ANNE B (DO)
Entity Type:Individual
Prefix:
First Name:EMILY-ANNE
Middle Name:B
Last Name:BOONE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 MAPLEWOOD AVE UNIT C4
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3787
Mailing Address - Country:US
Mailing Address - Phone:603-812-3522
Mailing Address - Fax:603-945-4339
Practice Address - Street 1:118 MAPLEWOOD AVE UNIT C4
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3787
Practice Address - Country:US
Practice Address - Phone:603-812-3522
Practice Address - Fax:604-945-4339
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH22857207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine