Individual
MRS. JANICE CAROLYN BOOZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN ANP MSN
Contact information
Practice address
7100 OAKMONT BLVD, STE 101 BARBARA BIRDWELL MD PA, FORT WORTH, TX 76132
(817) 370-0400
(817) 370-0448
Mailing address
7100 OAKMONT BLVD, STE 101 BARBARA BIRDWELL MD PA, FORT WORTH, TX 76132-4627
(817) 370-0400
(817) 370-0448
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
635806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167025901
—
TX
Enumeration date
03/14/2006
Last updated
01/10/2008
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