Loretta Sue Boshart, RN Valid NPI

Individual provider · Registered Nurse · Gallup, NM

NPI

1356647325

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

RN135543 (AZ)

Sex

Female

Sole proprietor

No

Enumerated

2011-02-08

Last updated

2011-02-08