Provider Demographics
NPI:1952607558
Name:BOSSE, NANCY ANN (ARNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:BOSSE
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:A
Other - Last Name:HASKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:ONAGA
Mailing Address - State:KS
Mailing Address - Zip Code:66521-0460
Mailing Address - Country:US
Mailing Address - Phone:785-889-4274
Mailing Address - Fax:785-889-7163
Practice Address - Street 1:302 MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMORELAND
Practice Address - State:KS
Practice Address - Zip Code:66549-9684
Practice Address - Country:US
Practice Address - Phone:785-457-9890
Practice Address - Fax:785-457-9891
Is Sole Proprietor?:No
Enumeration Date:2011-01-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-45175-051363LF0000X
KS53-45175363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200691540AMedicaid
KS53-45175-051OtherLICENSE
KS30004311070001Medicaid