NPI Profile for CHELSEA BOSAK in GLENDALE, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1720674732 |
|
| Status | Active | |
| Credentials | AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 12/14/2020 | |
| Last updated | 03/04/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHELSEA BOSAK
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