MEDICARE: FRANKLIN N BOSKOVICH FNP-BC, RNFA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	124732	CO
2	363LF0000X	Family Nurse Practitioner	990135	CO

General Provider Information

NPI Number	:	1235245614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANKLIN N BOSKOVICH FNP-BC, RNFA

Provider Business Mailing Address
First Line	:	PO BOX 673
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-0673
Country	:	US
Telephone Number	:	719-457-6200
Fax Number	:	719-487-0005

Provider Business Practice Location Address
First Line	:	3578 HARTSEL DR STE E-328
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-2103
Country	:	US
Telephone Number	:	719-733-3086
Fax Number	:	719-487-0005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	09/22/2021

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