Individual
SYRILA DENEAN BOSSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 636-5248
(573) 636-9390
Mailing address
1202 N TRAVIS ST, LIBERTY, TX 77575-3540
(936) 336-9175
(936) 336-8581
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP118161
TX
Other
Enumeration date
11/08/2016
Last updated
08/08/2024
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