BRENDA BOSCH (NPI# 1427489400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
524806 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
11807 MED PARK DR STE 365 |
City | FORT WORTH |
State | TX |
Zip Code | 76028-3509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
Find all providers in zip 76028 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76028 |
Please comment or provide details below to improve the information on BRENDA BOSCH.
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.