Individual
MS. RUTH M BOISSEREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 POSADA LANE, SUITE 202, TEMPLETON, CA 93465-4060
(805) 434-5497
(805) 434-0917
Mailing address
117 WEST BUNNY AVENUE, SANTA MARIA, CA 93458-2805
(805) 739-3474
(805) 739-3982
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
17321
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB221314
MEDICARE ID
CA
Enumeration date
07/11/2007
Last updated
09/16/2015
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