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

Tracy Bova

Individual provider Registered Nurse · NPI 1104058791

Tracy Bova is a Registered Nurse in Boonville, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
2

Practice location Address checks out

13407 New York 12
Boonville, NY 13309
Phone: (315) 942-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 338872 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 00676527 (NY)

Record details

NPI number1104058791
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2009
Last updated in NPPESJuly 7, 2014
Mailing address511 Tilden Ave, Utica, NY 13501-2007

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