Provider Demographics
NPI:1649322983
Name:BOSIA, KAREN M (CNM ARNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:BOSIA
Suffix:
Gender:F
Credentials:CNM ARNP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:M
Other - Last Name:BOSIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12311 TAFT ST SUITE #1
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026
Mailing Address - Country:US
Mailing Address - Phone:954-441-9595
Mailing Address - Fax:954-441-9636
Practice Address - Street 1:12311 TAFT ST STE 1
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-4384
Practice Address - Country:US
Practice Address - Phone:954-441-9595
Practice Address - Fax:954-441-9636
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1866022163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
1649322983Medicare UPIN