MARY ALICE BOULWARE

CHARLOTTE, NC
NPI1376507699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5003612)
Enumeration Date2006-04-13
Last Update Date2024-07-15
Business Address
MARY ALICE BOULWARE NP
1001 BLYTHE BLVD MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203-5866
Phone number: 704-381-8840
Mailing Address
MARY ALICE BOULWARE NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: