Provider Demographics
NPI:1467692301
Name:BOSCHI, JOANNE FOX (CPNP)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:FOX
Last Name:BOSCHI
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 JOSHUA LN
Mailing Address - Street 2:
Mailing Address - City:WALNUTPORT
Mailing Address - State:PA
Mailing Address - Zip Code:18088-9759
Mailing Address - Country:US
Mailing Address - Phone:610-554-3277
Mailing Address - Fax:610-767-5188
Practice Address - Street 1:180 N 12TH ST
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-1115
Practice Address - Country:US
Practice Address - Phone:610-377-5010
Practice Address - Fax:610-377-5000
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAUP001540-D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics