Individual
MISTY DAWN BOZARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
211 STATE HIGHWAY 66 E, TELL CITY, IN 47586
(812) 772-4380
Mailing address
1365 HILLDALE RD, LEWISPORT, KY 42351-7038
(270) 485-3549
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3019079
KY
363LF0000X
Family Nurse Practitioner
71013735A
IN
Other
Enumeration date
03/20/2023
Last updated
04/04/2023
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