Individual
MADALYN BETH BOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
290 BUCCANEER CIR, SALISBURY, NC 28146-2487
(704) 785-7900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5010701
NC
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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