Basic Information
| Provider Information | |||||||||
| NPI: | 1073563284 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOSESKI | ||||||||
| FirstName: | SHERRI | ||||||||
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| Credential: | A.P.N.-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 415 RIDGE RD | ||||||||
| Address2: | APARTMENT 0 | ||||||||
| City: | NORTH ARLINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070315340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2019980680 | ||||||||
| FaxNumber: | 2015369047 | ||||||||
| Practice Location | |||||||||
| Address1: | 196 JEWETT AVE | ||||||||
| Address2: | |||||||||
| City: | JERSEY CITY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 073041804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2015369000 | ||||||||
| FaxNumber: | 2015369047 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 26N010228900 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.