Individual
SHAWNA K BOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8534 DEPOT RD, LYNDEN, WA 98264-9598
(360) 354-8209
Mailing address
4519 GRANDVIEW RD, BLAINE, WA 98230-9640
(360) 371-1307
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
AP30006011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9635269
—
WA
Enumeration date
08/31/2006
Last updated
08/14/2008
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