ANGEL BROWN BOULWARE (NPI# 1467704429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467704429 |
| Entity Type | Individual |
| Full Name | ANGEL BROWN BOULWARE |
| Credential | FNP-C |
| Practice Address |
2112 Botanical Cir Nw Bethlehem GA 30620-4732 |
| Practice Telephone | 7702660181 |
| Mailing Telephone | 7702660181 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN172317 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 766 Walther Rd Ste 100, Lawrenceville, GA 300468765 | 7707366300 |
| Street Address |
2112 BOTANICAL CIR NW |
| City | BETHLEHEM |
| State | GA |
| Zip Code | 30620-4732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| 1518445683 | Bethlehem Dentistry, LLC | Dentist | 255 Gateway Drive, Suite 200, Bethlehem, GA 30620 | 2018-08-01 |
| 1881621233 | Manan I Shah | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2006-06-28 |
| 1871088997 | Stephanie Grace Bair | Occupational Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-30 |
| 1588159958 | John David Williams | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-27 |
| 1023460938 | Virginia Persons Labella | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620 | 2016-07-05 |
| 1649656356 | Kimberly Christine Thomas | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2015-08-04 |
| 1336468131 | Manan I Shah Md PC | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2010-05-19 |
| 1265998454 | Dawn Crook | Community/Behavioral Health | 509 Harry Mccarty Rd, Bethlehem, GA 30620-1707 | 2019-02-13 |
| 1447667233 | Susan Hardy Leighty | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620-1759 | 2014-07-14 |
| Find all providers in zip 30620 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505280 | Hemakshi Chohan | Nurse Practitioner | 3570 Lebella Ln, Bethlehem, GA 30620-7674 | 2020-10-09 |
| 1881201549 | Dana Bender | Nurse Practitioner | 4987 Derby Ln, Bethlehem, PA 18020-9418 | 2020-09-28 |
| 1619504800 | Marceline Nangah Awasom | Nurse Practitioner | 2543 Zablan Ave, Bethlehem, GA 30620-7653 | 2020-03-26 |
| 1699326413 | Maria Davis | Nurse Practitioner | 306 S New St Ste 201, Bethlehem, PA 18015-1652 | 2019-09-23 |
| 1932763323 | Joan Leslie Bass | Nurse Practitioner | 6255 Sterners Way, Bethlehem, PA 18017-9464 | 2019-05-01 |
| 1497318216 | Constance Azwe Asoh-ndi | Nurse Practitioner | 2225 Easton Ave, Bethlehem, PA 18017-4903 | 2019-04-17 |
| 1538653811 | Nikki Lorinda Golden | Nurse Practitioner | 2736 Snowcrest Ln, Bethlehem, GA 30620-4697 | 2018-06-19 |
| 1588022230 | Merrilyn C Pysher | Nurse Practitioner | 1943 Ravenwood Dr, Bethlehem, PA 18018-1534 | 2016-02-09 |
| 1447667233 | Susan Hardy Leighty | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620-1759 | 2014-07-14 |
| 1750710364 | Suzanne Cleary | Nurse Practitioner | Lehigh University Health and Wellness Center, 36 University Drive, Bethlehem, PA 18015-3061 | 2013-11-04 |
| Find all providers in BETHLEHEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.