Individual
MAUREEN BOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1874 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(772) 337-7676
(772) 337-9034
Mailing address
1874 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(772) 337-7676
(772) 337-9034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP606762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311312400
—
FL
01
—
G2588
BCBS
—
Enumeration date
06/06/2007
Last updated
06/07/2011
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