Individual
CHELSEA BOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5750 W THUNDERBIRD RD, BLDG G STE 780, GLENDALE, AZ 85306-4682
(602) 314-4220
(602) 314-5631
Mailing address
13634 N 93RD AVE STE 100, PEORIA, AZ 85381-4915
(623) 933-0301
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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