Fawn Michelle Boonstra


Address: 99 S Gold Dr, Suite 5, Apache Junction, AZ 85120-5036
Phone: 4809620101

Fawn Michelle Boonstra (NPI# 1902359771, PAC ID# 0244532240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.

Physician Overview

Nation Provider ID (NPI) 1902359771
PAC ID by PECOS 0244532240
Professional Enrollment ID I20160920001800
Full Name Fawn Michelle Boonstra
Address 99 S Gold Dr
Suite 5
Apache Junction
AZ 85120-5036
Phone Number 4809620101
Gender F
Graduation Year 2007
Primary Specialty REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
99 S Gold Dr, Suite 5, Apache Junction, AZ 85120-5036 4809620101
7115 E Baseline Rd, Suite 110, Mesa, AZ 85209-4039 4809620101

Organization Information

Office Location

Street Address 99 S GOLD DR
SUITE 5
City APACHE JUNCTION
State AZ
Zip 85120-5036

Physicians in the same location

Name Specialty Organization Address
Gary E Gawelko Physician Assistant Goldfield Medical Clinics LLC 99 S Gold Dr, Suite 5, Apache Junction, AZ 85120-5036

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Alene R Frycek Nurse Practitioner Take Care Health Arizona PC 55 W Apache Trail, Apache Junction, AZ 85120-3412
John A Klitzke Chiropractic 189 W Apache Trl, Suite 101, Apache Jct, AZ 85120-3493
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Stephanie L Winter Nurse Practitioner Empact- Suicide Prevention Center 11518 E Apache Trl, Suite 129, Apache Junction, AZ 85120-3572
Laura Mancuso Nurse Practitioner Empact- Suicide Prevention Center 11518 E Apache Trl, Suite 129, Apache Junction, AZ 85120-3572
Jami Arlene Cline Nurse Practitioner Empact- Suicide Prevention Center 11518 E Apache Trl, Suite 129, Apache Junction, AZ 85120-3572
Tina Violetta Nurse Practitioner Empact- Suicide Prevention Center 11518 E Apache Trl, Suite 129, Apache Junction, AZ 85120-3572
Find all physicians in zip 85120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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