BRENDA BOSCH


Address: 11807 Med Park Dr, Ste 365, Fort Worth, TX 76028-3509
Phone: 8155686802

BRENDA BOSCH (NPI# 1427489400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427489400
Entity Type Individual
Full Name BRENDA BOSCH
Credential CPNP
Practice Address 11807 Med Park Dr
Ste 365
Fort Worth
TX 76028-3509
Practice Telephone 8155686802
Mailing Telephone 8155686802
Enumeration Date 2013-12-02
Last Update Date 2020-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
524806 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11807 MED PARK DR
STE 365
City FORT WORTH
State TX
Zip Code 76028-3509

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770182636 Jenna Donlon Nurse Practitioner 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 2020-10-21
1023594009 Erica M Lucas Nurse Practitioner 800 8th Ave Ste 200, Fort Worth, TX 76104-2619 2018-07-13
1003280686 Susan Akberzie Nurse Practitioner 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 2015-11-19
1447535463 Anamarina Jarecke Nurse Practitioner 5300 Buchanan St, Fort Worth, TX 76114-1304 2011-10-21
1770873077 Michelle Beatrice Oconnor Nurse Practitioner 6239 Granbury Rd, Fort Worth, TX 76133-3401 2011-04-08
1912208687 Andrea Madeliene Newman Nurse Practitioner 901 7th Ave Ste 120, Fort Worth, TX 76104-2724 2010-11-10
1629306709 Autumn Brianne Morris Nurse Practitioner 901 W Rosedale St, Fort Worth, TX 76104-4672 2009-11-30
1235466624 Courtney Shea Stewart Nurse Practitioner 5917 Yosemite Dr, Fort Worth, TX 76112-3938 2009-11-06
1548412018 Christie Ramirez Nurse Practitioner 8376 Mojave Trl, Fort Worth, TX 76116-3638 2008-10-16
1609065093 Shannon R Dougrey Nurse Practitioner 5900 Yosemite Dr, Fort Worth, TX 76112-3939 2007-10-22
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Competitor

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City FORT WORTH
Zip Code 76028

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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