Provider Demographics
NPI:1871267286
Name:BOOS, DENISE HELEN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:HELEN
Last Name:BOOS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:SRAMEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6251 EMERY XING
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-1638
Mailing Address - Country:US
Mailing Address - Phone:216-407-6482
Mailing Address - Fax:
Practice Address - Street 1:10500 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4402
Practice Address - Country:US
Practice Address - Phone:216-407-6482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029307363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.0029307OtherCNP