Individual
NANCY BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2115 S FREMONT AVE, SPRINGFIELD, MO 65804-2239
(417) 820-9123
Mailing address
2115 S FREMONT AVE, SPRINGFIELD, MO 65804-2239
(417) 820-9123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017024385
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420047164
—
MO
Enumeration date
09/12/2017
Last updated
04/06/2023
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