Individual
MEGAN COSGROVE BOLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5012273
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
27427
SC
Other
Enumeration date
07/23/2019
Last updated
10/17/2023
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