| Doctor Name: | SHAWNA K BOSMAN |
| NPI Number: | 1083726947 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30006011 |
| Business Practice Address: | 8534 Depot Rd Lynden, WA - 982649598 |
| Business Phone Number: | 3603548209 |
| Business Fax Number: | |
| Mailing Address: | 4519 Grandview Rd, BLAINE |
| State: | WA |
| Postal Code: | 982309640 |
| Phone Number: | 3603711307 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 08/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | AP30006011 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |