Individual
BRIAN J BOSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
46 DIAMOND DR, NORTH DINWIDDIE, VA 23803-7495
(804) 508-8372
Mailing address
46 DIAMOND DR, NORTH DINWIDDIE, VA 23803-7495
(804) 508-8372
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024192634
VA
363LP2300X
Primary Care Nurse Practitioner
0024192634
VA
Other
Enumeration date
02/18/2025
Last updated
04/14/2025
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