Boozer, Kathileen Riley

Boozer, Kathileen Riley is an sole proprietor health care provider with primary practice located at 7125 New Sanger Ave Ste 502 , Waco TX 76712-4054. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Boozer, Kathileen Riley can be contacted via phone (972) 835-1867.

Contact Information

Primary practice address
7125 New Sanger Ave Ste 502 Waco TX 76712-4054
Phone: (972) 835-1867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 762114 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP121522 Texas

Profile Details

NPI number 1275892093
LBN Legal business name Boozer, Kathileen Riley
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2012
Last updated Aug 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275892093 NPPES
Texas MEDICAID 111521403

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