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Carsyn Rose Boswell

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wayne, NE

NPI 1104644871 · NPPES record last updated Oct 1, 2024

Key facts

NPI
1104644871
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
513906498 (NM)
Practice address
1111 Main St
Wayne, NE 68787-1181
Phone
(402) 375-7321
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
513906498NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Mental Health Counseling Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 513906498 NM
Student in an Organized Health Care Education/Training Program 390200000X 513906498 NM Yes

Addresses

Primary practice location

1111 Main St
Wayne, NE 68787-1181

Mailing address

5414 Old Cavern Hwy
Carlsbad, NM 88220-9176
Phone (208) 360-1494

Other providers in Wayne, NE

All providers in Wayne, NE · Student in an Organized Health Care Education/Training Program in Nebraska

Sources for this page

Verify at the official NPI Registry.