Individual
MRS. LAURA BOLEWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
307 S. 13TH AVE, LAUREL, MS 39440-4342
(601) 649-7600
(601) 649-7628
Mailing address
307 S. 13TH AVE, LAUREL, MS 39440-4342
(601) 649-7600
(601) 649-7628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R858454
MS
Other
Enumeration date
02/12/2015
Last updated
06/17/2019
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