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PATRICIA K BOZEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
85 SEYMOUR ST, SUITE 911, HARTFORD, CT 06106-5501
(860) 522-4158
(860) 524-2652
Mailing address
85 SEYMOUR ST, SUITE 911, HARTFORD, CT 06106-5501
(860) 522-4158
(860) 524-2652

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003251
CT
364SM0705X
Medical-Surgical Clinical Nurse Specialist
003251
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030251
CONNECTICARE
CT
01
06-1406459
PRIVATE HEALTHCARE SYSTEMS
CT
01
1376538074
ANTHEM BCBS
CT
01
3V4422
HEALTH NET
CT
01
497353
WELLCARE
CT
01
P00789541
RAILROAD MEDICARE
CT
Enumeration date
09/19/2005
Last updated
09/28/2010
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