Provider Demographics
NPI:1114700200
Name:BOSWELL, RHIANNON NOEL (APRN, FNP- BC)
Entity Type:Individual
Prefix:MRS
First Name:RHIANNON
Middle Name:NOEL
Last Name:BOSWELL
Suffix:
Gender:F
Credentials:APRN, FNP- BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 NE BREEZEWAY CIR
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-5719
Mailing Address - Country:US
Mailing Address - Phone:954-383-3329
Mailing Address - Fax:
Practice Address - Street 1:2730 NE BREEZEWAY CIR
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-5719
Practice Address - Country:US
Practice Address - Phone:954-383-3329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11027881363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner