Individual provider · Type 1 NPI
Linda Georgette Boulware, APRN
Family Nurse Practitioner · Chicago, IL
NPI number
1063000669
Active
Practice location
2045 W Grand Ave Ste B
Chicago, IL 60612-1577
Mailing address
1591 Abbott St
Carlyle, IL 62231-1107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.022606 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063000669
Linda Georgette Boulware, APRN's National Provider Identifier is 1063000669, issued on Jan 8, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Jan 8, 2021.