Provider Demographics
NPI:1558454629
Name:BOSLEY, CHERYL LEE (NP)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:LEE
Last Name:BOSLEY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:53 BROMFIELD ST
Mailing Address - Street 2:#3
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-3030
Mailing Address - Country:US
Mailing Address - Phone:978-499-1878
Mailing Address - Fax:
Practice Address - Street 1:500 LYNNFIELD ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-1424
Practice Address - Country:US
Practice Address - Phone:781-477-3327
Practice Address - Fax:781-477-3363
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA261152363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAB0NP4934Medicare ID - Type UnspecifiedPART B