Healthcare Provider Details

I. General information

NPI: 1821179482
Provider Name (Legal Business Name): GINGER A BOSLER NP, MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 AMHERST RD NE SUITE 201
MASSILLON OH
44646-8518
US

IV. Provider business mailing address

6046 WHIPPLE AVE NW
NORTH CANTON OH
44720-7616
US

V. Phone/Fax

Practice location:
  • Phone: 330-837-6825
  • Fax: 330-830-3255
Mailing address:
  • Phone: 330-433-1478
  • Fax: 330-305-5047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN280527
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: