Search › Wisconsin › 343900000X
Wanda Boone
NPI 1124609045 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3315 W Burgundy Ct
Mequon, WI 53092 - Phone
- (262) 853-1344
- Fax
- (414) 908-9548
- Organisation at this address
- Genesis Adult Family Home Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 343900000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin