Individual
AUDREY DANIELLE BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 W CENTRAL AVE, MIAMI, OK 74354-6815
(918) 542-3900
(918) 542-3928
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(918) 542-3900
(918) 542-3928
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
134481
OK
363L00000X
Nurse Practitioner
2017001327
MO
Other
Enumeration date
01/19/2017
Last updated
10/30/2019
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