Individual
BONNIE ANN BOSHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 GLENDALE DR W, WILSON, NC 27893-2772
(252) 399-0737
(252) 399-0747
Mailing address
7366 WIGGINS MILL RD, LUCAMA, NC 27851-9478
(252) 205-5198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5012764
NC
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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