Individual provider · Type 1 NPI
Stephanie Ann Bose, R.N.
Addiction (Substance Use Disorder) Registered Nurse · Gardena, CA
NPI number
1144777095
Active
Practice location
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peritoneal Dialysis Registered Nurse | 163WD1100X | 550157 (CA) |
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 550157 (CA) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1144777095
Stephanie Ann Bose, R.N.'s National Provider Identifier is 1144777095, issued on Sep 8, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Gardena, CA. The record was last updated on Jan 4, 2022.