Individual
KATIE CARR BOSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, RNC, NNP
Contact information
Practice address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(615) 342-4660
(615) 342-4662
Mailing address
818 WEST BLUFF ROAD, CLOUDLAND, GA 30731
(423) 505-4228
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
8053
TN
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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