Individual
LINDA L BOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1933 WASHINGTON BLVD, BELPRE, OH 45714-2041
(304) 428-3500
(304) 422-7900
Mailing address
418 GRAND PARK DR, SUITE 315, PARKERSBURG, WV 26105-4000
(304) 428-3500
(304) 422-7900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
18012
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
NA04113
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067606000
—
WV
05
—
0763982
—
OH
Enumeration date
10/06/2005
Last updated
06/29/2010
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