Individual provider · Type 1 NPI

Tonya Ann Bosaw, NP

Family Nurse Practitioner · Maryville, IL

NPI number 1821600693 Active

Practice location

6812 State Route 162 Ste 204
Maryville, IL 62062-8562

Call (618) 391-5070 Map

Mailing address

301 Saint Marys St
Bethalto, IL 62010-1230

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209021557 (IL)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1821600693

Tonya Ann Bosaw, NP's National Provider Identifier is 1821600693, issued on Aug 21, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maryville, IL. The record was last updated on Aug 21, 2020.