Provider Demographics
NPI:1235245614
Name:BOSKOVICH, FRANKLIN N (FNP-BC, RNFA)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:N
Last Name:BOSKOVICH
Suffix:
Gender:M
Credentials:FNP-BC, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 673
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-0673
Mailing Address - Country:US
Mailing Address - Phone:719-457-6200
Mailing Address - Fax:719-487-0005
Practice Address - Street 1:3578 HARTSEL DR STE E-328
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-2103
Practice Address - Country:US
Practice Address - Phone:719-733-3086
Practice Address - Fax:719-487-0005
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO124732163W00000X
CO990135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse