Individual
BRADY BOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Mailing address
1504 N LAKESHORE DR, MARION, IN 46952-1586
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28276081
IN
363LF0000X
Family Nurse Practitioner
Primary
71017831A
IN
363LF0000X
Family Nurse Practitioner
71017831B
IN
Other
Enumeration date
09/09/2024
Last updated
03/08/2026
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