Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phyllis Diane Boone, NP

Individual provider Nurse Practitioner · NPI 1477838845

Phyllis Diane Boone, NP is a Nurse Practitioner in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3600 E Fulton
Grand Rapids, MI 49546-1322
Phone: (616) 949-4971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704108827 (MI)

Record details

NPI number1477838845
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 18, 2011
Last updated in NPPESOctober 18, 2011
Mailing addressPo Box 3140, Grand Rapids, MI 49501-3140

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