Individual
MIRANDA BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1303
(205) 783-7970
Mailing address
1130 22ND ST S STE 1000, BIRMINGHAM, AL 35205-2881
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
1-134717
AL
363LF0000X
Family Nurse Practitioner
Primary
1-134717
AL
Other
Enumeration date
08/14/2019
Last updated
08/27/2021
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