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Individual

CHELSEA BOSAK

Active
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Individual

CHELSEA BOSAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
250699
AZ
363LA2200X
Adult Health Nurse Practitioner
250699
AZ
363LG0600X
Gerontology Nurse Practitioner
250699
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2020092576
ANCC
01
250699
ANRN-RNP
AZ
01
RN177672
RN
AZ
Enumeration date
12/14/2020
Last updated
03/04/2021
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