Bosque, Elena Marie

Bosque, Elena Marie is an individual health care provider with primary practice located at 400 S 43Rd St , Renton WA 98055-5714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Bosque, Elena Marie can be contacted via phone (425) 656-5525.

Contact Information

Primary practice address
400 S 43Rd St Renton WA 98055-5714
Phone: (425) 656-5525
Fax: (425) 656-4228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP30005076 Washington

Profile Details

NPI number 1881787596
LBN Legal business name Bosque, Elena Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 24th, 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 1881787596 NPPES
Washington MEDICAID 9626383

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