Search › Nebraska › 363A00000X
Kaitlyn Boosalis, MPAS, PA-C
NPI 1659804292 · on the registry since 2017
Practice
- Address
- 4331 Mayberry St
Omaha, NE 68105 - Phone
- (989) 529-8059
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska