Individual
SHARON A BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, SHOCK TRAUMA CENTER, CRITICAL CARE, BALTIMORE, MD 21201-1544
(410) 328-5382
Mailing address
22 S GREENE ST, SHOCK TRAUMA CENTER, CRITICAL CARE, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R107416
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R107416
STATE LICENSE
MD
Enumeration date
04/09/2008
Last updated
04/09/2008
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