Individual
WENDY KAY BOULWARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 WASHINGTON ST STE 205, COLUMBUS, IN 47201-6295
(812) 378-0615
Mailing address
700 WASHINGTON ST STE 205, COLUMBUS, IN 47201-6295
(812) 378-0615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28073945A
IN
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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