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NPI Code Detail

MEDICARE: KRISLYN BOSWELL

MEDICARE: KRISLYN BOSWELL
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
1364SF0001XFamily Health Clinical Nurse SpecialistAP140867TX
2363LF0000XFamily Nurse PractitionerAP140867TX

General Provider Information

NPI Number : 1255899399
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISLYN BOSWELL
Provider Business Mailing Address
First Line : 204 GRAND CREEK DR
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-2061
Country : US
Telephone Number : 806-382-0350
Fax Number :
Provider Business Practice Location Address
First Line : 2911 S SHORE BLVD STE 190
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-3919
Country : US
Telephone Number : 281-538-8188
Fax Number : 281-538-8189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2019
Last Update Date : 05/02/2025

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Directions to “ KRISLYN BOSWELL ” Practice Location

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