Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 0172572308 | NH |
NPI | 1013129675 |
---|---|
Provider Name | Dr. Regina Bosinger |
First Address | Plymouth, NH 03264-0845 |
Second Address | Plymouth, NH 03264-1451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 05/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
40004939 | (05) | NH |