Individual
AMANDA BOSHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 338-4545
Mailing address
20336 NORTHMOOR DR, JOHNSTOWN, CO 80534-9314
(970) 396-9777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0169603
CO
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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