Doctor Name: | MS. KIMBERLY BOHS |
NPI Number: | 1083987101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, APN-C |
License Number: | 26NJ00360900 |
Business Practice Address: | 248 Columbia Tpke Florham Park, NJ - 079321210 |
Business Phone Number: | 9735141767 |
Business Fax Number: | |
Mailing Address: | 248 Columbia Tpke, FLORHAM PARK |
State: | NJ |
Postal Code: | 079321210 |
Phone Number: | 9735141767 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2012 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00360900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |