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NPI Code Detail

MEDICARE: MRS. NATALIE B BOST FNP-BC

MEDICARE:  MRS. NATALIE B BOST  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner201629NC

General Provider Information

NPI Number : 1366558074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NATALIE B BOST FNP-BC
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 336-718-4820
Fax Number :
Provider Business Practice Location Address
First Line : 15235 JOHN J DELANEY DR STE B
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-2846
Country : US
Telephone Number : 704-384-7300
Fax Number : 704-384-7305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 10/09/2014

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Directions to “ MRS. NATALIE B BOST FNP-BC” Practice Location

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