Healthcare Provider Details

I. General information

NPI: 1912858481
Provider Name (Legal Business Name): ALESSANDRA CECILIA BOSEKER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 N HAMILTON RD STE 120
GAHANNA OH
43230-8707
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-533-5000
  • Fax: 614-533-1337
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0042252
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: