Provider Demographics
NPI:1821179482
Name:BOSLER, GINGER A (NP, MSN, RN)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:A
Last Name:BOSLER
Suffix:
Gender:F
Credentials:NP, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6046 WHIPPLE AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7616
Mailing Address - Country:US
Mailing Address - Phone:330-433-1478
Mailing Address - Fax:330-305-5047
Practice Address - Street 1:830 AMHERST RD NE
Practice Address - Street 2:SUITE 201
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-8518
Practice Address - Country:US
Practice Address - Phone:330-837-6825
Practice Address - Fax:330-830-3255
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN280527363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2695070Medicaid
OH22252Medicare PIN