Christy Dawn Boswell, APRN
Individual provider Active NPI Family Nurse Practitioner · Tahlequah, OK
NPI 1104175736 · NPPES record last updated Dec 2, 2015
Key facts
- NPI
- 1104175736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 77908 (OK)
- Practice address
- 100 S. Bliss Avenue
Tahlequah, OK 74464 - Phone
- (918) 458-3100
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation Comprehensive Care Agency | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 77908 | OK | Yes |
Addresses
Primary practice location
100 S. Bliss Avenue
Tahlequah, OK 74464
Mailing address
1387W 4TH St
Tahlequah, OK 74464-9766
Phone (918) 453-5554
Other names
- Christi Dawn Boswell
Other providers in Tahlequah, OK
- Patrick Stephen Bolding
- Derek Bolt
- Sarah Katherine Boltey
- Amanda Rae Bonner
- Teresa L. Borremans
- Abby Taylor Bowlin
- Eryn Denae Boyd
- Misty Lynn Boyd
- Haley Boydston
- Angela Bradshaw
All providers in Tahlequah, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.