Irene Renee Boesch, APRN
Nurse Practitioner, Family in Norfolk, NE. Individual provider (NPI-1).
NPI number1770197345
StatusActive
Last updated in NPPESOct 28, 2022
Details
- NPI
- 1770197345
- Entity type
- Individual (NPI-1)
- Name
- Irene Renee Boesch
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2020
- Certification date
- Oct 28, 2022
- Last updated
- Oct 28, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 113333 | NE | Yes |
Practice location
3901 W Norfolk AveNorfolk, NE 68701-4405
Phone 402-844-8000
Mailing address
3901 W Norfolk AveNorfolk, NE 68701-4405
Phone 402-844-4000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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