Healthcare Provider Details

I. General information

NPI: 1225746456
Provider Name (Legal Business Name): KARRIE BOSS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1077 GORGE BLVD
AKRON OH
44310-2408
US

IV. Provider business mailing address

1077 GORGE BLVD
AKRON OH
44310-2408
US

V. Phone/Fax

Practice location:
  • Phone: 330-414-4238
  • Fax:
Mailing address:
  • Phone: 330-414-4238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number019391
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberAPRN.CNS.019391
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: