Individual
KATHLEEN ANN MALCOLM BOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP FNP
Contact information
Practice address
5258 LINTON BLVD #106, DELRAY BEACH, FL 33484
(561) 495-0990
(561) 495-8276
Mailing address
6 FOREST HILLS LANE, BOCA RATON, FL 33431
(561) 391-4022
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2832212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73265
BLUE CROSS
FL
Enumeration date
08/14/2006
Last updated
03/01/2023
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