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Individual

MRS. NANCY W BOSLER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
9505 WILLIAMSBURG PLZ, SUITE 201, LOUISVILLE, KY 40222-5082
(502) 412-2995
(502) 412-8025
Mailing address
9505 WILLIAMSBURG PLZ, SUITE 201, LOUISVILLE, KY 40222-5082
(502) 412-2995
(502) 412-8025

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1025420
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000024208
ANTHEM PROV NUMBER
KY
01
24431590000
PASSPORT ADV. PROV NUMBER
KY
01
50001582
PASSPORT PROV NUMBER
KY
05
78006871
KY
Enumeration date
05/24/2006
Last updated
07/09/2007
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