Organization
CATHY BOSCHERO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY BOSCHERO CNP (OWNER/OPERATOR)
(575) 624-2121
Entity
Organization
Contact information
Practice address
1700 N UNION AVE, ROSWELL, NM 88201-3267
(575) 624-2121
(575) 624-7981
Mailing address
PO BOX 974, ROSWELL, NM 88202-0974
(575) 624-2121
(575) 624-7981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R19986
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP00315
NM
364S00000X
Clinical Nurse Specialist
CNS00056
NM
Other
Enumeration date
02/08/2013
Last updated
03/18/2013
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