Individual provider · Type 1 NPI

Mary Alice Boulware, NP

Nurse Practitioner · Charlotte, NC

NPI number 1376507699 Active

Practice location

1001 Blythe Blvd, Medical Center Plaza Suite 200
Charlotte, NC 28203-5866

Call (704) 381-8840 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1100 Blythe Blvd, Charlotte, NC 28203-5814 · (704) 355-4300
  • 2301 US Highway 74 W, Wadesboro, NC 28170-7554 · (704) 994-4500
  • 201 E Grover St, Shelby, NC 28150-3917 · (980) 487-3000
  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 · (704) 355-2000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5003612 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1376507699

Mary Alice Boulware, NP's National Provider Identifier is 1376507699, issued on Apr 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 25, 2025.