Individual provider · NPI-1

Lisa Jane Bosio, NP

Nurse Practitioner · Ann Arbor, MI

NPI number1477021160
StatusActive
Last updated in NPPESDec 14, 2018

Details

NPI
1477021160
Entity type
Individual (NPI-1)
Name
Lisa Jane Bosio
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 12, 2018
Last updated
Dec 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner4704169802MIYes
163WD0400X Registered Nurse, Diabetes Educator4704169802MI

Practice location

24 Frank Lloyd Wright Dr
Lobby C Suite 1300
Ann Arbor, MI 48105-9484

Phone 734-647-5871

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Phone 734-647-5299

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