Individual
MRS. KRISTINE MARIE BOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3065 S 54TH STREET, MILWAUKEE, WI 53219
(414) 687-5489
Mailing address
3065 S 54TH STREET, MILWAUKEE, WI 53219
(414) 687-5489
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
62718030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38203500
—
WI
Enumeration date
09/27/2006
Last updated
07/08/2007
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