Amber Bozza, RN

Key facts

NPI

1730625906

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Registered Nurse 163WA0400X

License

RN533764 (PA)

Practice address

1098 Kennedy Dr
Ambridge, PA 15003-2314

Phone

(724) 385-0588

Fax

(724) 385-0741

NPI assigned

Jan 12, 2017

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.

• Beaver County Pathways LLC Social Worker · Ambridge, PA · NPI 1184071193
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2017.

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1730625906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 KENNEDY DR",
            "city": "AMBRIDGE",
            "state": "PA",
            "postal_code": "150032314",
            "telephone_number": "724-385-0588",
            "fax_number": "724-385-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 KENNEDY DR",
            "city": "AMBRIDGE",
            "state": "PA",
            "postal_code": "150032314",
            "telephone_number": "724-385-0588",
            "fax_number": "724-385-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZA",
        "first_name": "AMBER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "RN533764",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN533764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Bauer
• Beaver County Pathways LLC
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• Nicholas Joseph Bozza, PHARMD
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• Bradley Campbell
• Nicholas Francesco Cerminaro, PHARMD
• George B Cheponis, M.D.

All providers in Ambridge, PA · Addiction (Substance Use Disorder) Registered Nurse in Pennsylvania