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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MELANIE RENEE BOULDWATE

Active Sole Proprietor

MELANIE RENEE BOULDWATE is a Licensed Practical Nurse healthcare provider located in ACWORTH, Georgia. NPI 1033821152 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · ACWORTH, GA

Registration Details

NPI Number
1033821152
Provider Type
Individual
Gender
Female
NPI Issued
Dec 20, 2022 (3.6829856512628 yrs)
Last Updated
Dec 20, 2022
License
5218053 (FL)
Sole Proprietor
Yes

Practice Information

Address
500 SANDY LN APT 201
ACWORTH, GA, 301021497
Browse GA providers · Browse ZIP 30102
Phone
1215756190
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in ACWORTH, GA

Name Credential NPI
MS. MARIE J JOSEPH 1790225100
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.