Individual
DIANE WATSON BOICOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
1010 E DIXON BLVD # B, SHELBY, NC 28152-6838
(980) 487-2900
Mailing address
2242 EMERALD MINE RD, SHELBY, NC 28152-8674
(407) 314-9429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11005221
FL
363LF0000X
Family Nurse Practitioner
Primary
5019833
NC
Other
Enumeration date
11/27/2019
Last updated
07/10/2024
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