Individual provider · Type 1 NPI
Lillian Connie Bosire, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI number
1417785502
Active
Practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
PO Box 732973
Dallas, TX 75373-2973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 959213 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1176514 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1417785502
Lillian Connie Bosire, PMHNP's National Provider Identifier is 1417785502, issued on Jul 22, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 4, 2025.