MEDICARE: ASHLEY NICOLE BOS APN-CNP

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	363L00000X	Nurse Practitioner	209015587	IL
2	363LF0000X	Family Nurse Practitioner	209015587	IL

General Provider Information

NPI Number	:	1487195905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY NICOLE BOS APN-CNP

Provider Business Mailing Address
First Line	:	880 W CENTRAL RD FL 2
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2355
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 W CENTRAL RD FL 2
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2355
Country	:	US
Telephone Number	:	847-618-9565
Fax Number	:

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

Provider Enumeration Date	:	03/16/2017
Last Update Date	:	03/30/2026

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