Individual
MARY CAITLIN REBECCA BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
538 WILLIAMSON RD, MOORESVILLE, NC 28117-9186
(704) 664-4247
Mailing address
538 WILLIAMSON RD, MOORESVILLE, NC 28117-9186
(704) 664-4247
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
221813
NC
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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