Individual
CHELSA BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
621 S MAIN ST STE 100, REIDSVILLE, NC 27320-5034
(336) 951-6460
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005486
NC
363LA2200X
Adult Health Nurse Practitioner
5005486
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841561974
—
NC
Enumeration date
01/20/2012
Last updated
04/10/2025
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