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NPI Code Detail

MEDICARE: LOAN BOSCH FNP-C

MEDICARE:   LOAN  BOSCH  FNP-C
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
1363LF0000XFamily Nurse PractitionerARNP9302658FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326444845
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOAN BOSCH FNP-C
Provider Business Mailing Address
First Line : 1515 22ND AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33704-3113
Country : US
Telephone Number : 727-322-4227
Fax Number :
Provider Business Practice Location Address
First Line : 1515 22ND AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33704-3113
Country : US
Telephone Number : 727-322-4227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2014
Last Update Date : 02/06/2026

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Directions to “ LOAN BOSCH FNP-C” Practice Location

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