Individual provider · Type 1 NPI
Bose Grace Anifowose, DNP, FNP, PMHNP
Family Nurse Practitioner · Casa Grande, AZ
NPI number
1932589322
Active
Practice location
1075 W Avalon Canyon Dr
Casa Grande, AZ 85122-6706
Fax (520) 635-5510
Mailing address
2381 E Alonso Dr
Casa Grande, AZ 85194-7460
Other practice locations
- 2381 E Alonso Dr, Casa Grande, AZ 85194-7460 · (623) 565-2668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP7746 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP7746 (AZ) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1932589322
Bose Grace Anifowose, DNP, FNP, PMHNP's National Provider Identifier is 1932589322, issued on Jun 1, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Casa Grande, AZ. The record was last updated on Feb 3, 2024.