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MR. JOSHUA MICHAEL BOSACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 294-2471
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021059
PA
363LA2100X
Acute Care Nurse Practitioner
SP021059
PA

Other

Enumeration date
11/12/2019
Last updated
01/13/2020
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