Bosley, M. Lisa

Bosley, M. Lisa is an individual health care provider with primary practice located at 77 Mass Ave Medical E23-395, Cambridge MA 02139-4301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bosley, M. Lisa can be contacted via phone (617) 253-2916.

Contact Information

Primary practice address
77 Mass Ave Medical E23-395 Cambridge MA 02139-4301
Phone: (617) 253-2916
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 118449 Massachusetts

Profile Details

NPI number 1801861943
LBN Legal business name Bosley, M. Lisa
Credentials MS RNCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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 1801861943 NPPES
Massachusetts Other PN0773 BLUE CROSS

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