Boosalis, Telsa Lee

Boosalis, Telsa Lee is an individual health care provider with primary practice located at 1600 W Avenue J , Lancaster CA 93534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boosalis, Telsa Lee can be contacted via phone (661) 949-5115.

Contact Information

Primary practice address
1600 W Avenue J Lancaster CA 93534
Phone: (661) 949-5115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NPF10043 California

Profile Details

NPI number 1851426316
LBN Legal business name Boosalis, Telsa Lee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jun 11th, 2008 - about 18 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 1851426316 NPPES
California MEDICAID RN443029

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