Provider Demographics
NPI:1750498960
Name:BOSSEWITCH, SHULAMIT C (RNC, MSN, WHNP)
Entity Type:Individual
Prefix:
First Name:SHULAMIT
Middle Name:C
Last Name:BOSSEWITCH
Suffix:
Gender:F
Credentials:RNC, MSN, WHNP
Other - Prefix:
Other - First Name:SHULAMIT
Other - Middle Name:C
Other - Last Name:BOSSEWITCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3400 PINE TREE DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3931
Mailing Address - Country:US
Mailing Address - Phone:917-250-6432
Mailing Address - Fax:
Practice Address - Street 1:3400 PINE TREE DR
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3931
Practice Address - Country:US
Practice Address - Phone:917-250-6432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA260036363LW0102X
FLAPRN9352811363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health