Individual
TARA PIERCE BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10830 GREENWELL SPRINGS RD, BATON ROUGE, LA 70814-5014
(225) 444-5125
Mailing address
10830 GREENWELL SPRINGS RD, BATON ROUGE, LA 70814-5014
(225) 444-5125
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN116000
LA
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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