Individual
AMANDA MARIE BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
39935 VISTA DEL SOL, RANCHO MIRAGE, CA 92270-3264
(760) 837-9210
Mailing address
48244 SILVER SPUR TRL, PALM DESERT, CA 92260-6611
(440) 749-9451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
268187
NC
163W00000X
Registered Nurse
670997
NY
163W00000X
Registered Nurse
RN.350801
OH
163W00000X
Registered Nurse
RN631182
PA
367500000X
Certified Registered Nurse Anesthetist
101970
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
95000954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982017364
—
NC
Enumeration date
06/03/2014
Last updated
05/02/2022
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