Individual
NICHOLE ADRIANNE BOSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
504 N 40TH AVE, YAKIMA, WA 98908-4311
(509) 966-9480
Mailing address
504 N 40TH AVE, YAKIMA, WA 98908-4311
(509) 966-9480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60174063
WA
207Q00000X
Family Medicine Physician
AP61521891
WA
207Q00000X
Family Medicine Physician
F01240502
WA
207Q00000X
Family Medicine Physician
MB8644583
WA
363L00000X
Nurse Practitioner
Primary
AP61521891
WA
Other
Enumeration date
01/12/2024
Last updated
09/11/2024
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