IndividualActive
Marianne Boschen, PA-C
NPI 1851476402 · Medical Physician Assistant · Jackson, WY
Provider details
- NPI number
- 1851476402
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 301 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
555 E Broadway Ave
Jackson, WY 83001-8640
Phone: (307) 733-3900
Approximate (ZIP-level) locationGet directions
Mailing address
555 E Broadway Ave
Jackson, WY 83001-8640
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2019-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.