Healthcare Provider Details

I. General information

NPI: 1285546739
Provider Name (Legal Business Name): ANNY ROSE ROSE BOHNEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 SW 48TH TER
DEERFIELD BEACH FL
33442-8287
US

IV. Provider business mailing address

1215 SW 48TH TER
DEERFIELD BEACH FL
33442-8287
US

V. Phone/Fax

Practice location:
  • Phone: 484-358-7600
  • Fax:
Mailing address:
  • Phone: 484-358-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049551
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: