Individual
MADISON WHITLOCK BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2001 TODAYS WOMAN AVE, WINSTON SALEM, NC 27105-5069
(336) 722-1818
(336) 722-1826
Mailing address
404 WESTWOOD AVE STE 103, HIGH POINT, NC 27262-4316
(336) 409-6504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012980
NC
Other
Enumeration date
03/18/2020
Last updated
08/02/2024
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