Elaine R Boss, RN
Registered Nurse, Home Health in Traverse City, MI. Individual provider (NPI-1).
NPI number1982148771
StatusActive
Last updated in NPPESDec 13, 2016
Details
- NPI
- 1982148771
- Entity type
- Individual (NPI-1)
- Name
- Elaine R Boss
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2016
- Last updated
- Dec 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | L2432188 | MI | Yes |
Practice location
3221 Logan Valley RdTraverse City, MI 49684-4772
Phone 231-941-4005
Mailing address
3221 Logan Valley RdTraverse City, MI 49684-4772
Phone 231-941-4005
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