Individual
DAVID MARK BOSSENMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP FAMILY NURSE PRAC
Contact information
Practice address
1000 OCHSNER BLVD, COVINGTON, LA 70433
(985) 875-2828
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-3066
(985) 230-2072
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP03204
LA
363L00000X
Nurse Practitioner
RN056359
LA
363LF0000X
Family Nurse Practitioner
Primary
AP03204
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1554600
—
LA
Enumeration date
07/24/2006
Last updated
12/12/2018
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