Individual
JANELLE BOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03691
NC
363A00000X
Physician Assistant
PA00939
RI
363A00000X
Physician Assistant
Primary
PA7588
MA
363AM0700X
Medical Physician Assistant
PA7588
MA
363AS0400X
Surgical Physician Assistant
0010-03691
NC
363AS0400X
Surgical Physician Assistant
PA00939
RI
Other
Enumeration date
03/12/2012
Last updated
09/11/2020
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