Individual
KATIE BOESZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
26 HIGHWAY 35 N, NEPTUNE, NJ 07753
(732) 456-7777
Mailing address
1580 LAKEWOOD RD STE 16, TOMS RIVER, NJ 08755-3287
(732) 456-7777
(848) 251-2189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NR14818500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0578410
—
NJ
01
—
5072898
AETNA
NJ
01
—
561347
MEDICARE PTAN
NJ
01
—
P5849804
OXFORD
NJ
Enumeration date
12/09/2016
Last updated
08/03/2021
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