Individual provider · Type 1 NPI

Angel Brown Boulware, FNP-C

Family Nurse Practitioner · Lawrenceville, GA

NPI number 1467704429 Active

Practice location

2200 Medical Center Blvd Ste 400
Lawrenceville, GA 30046-7769

Mailing address

3610 Wynterset Dr
Snellville, GA 30039-8631

Other practice locations

  • 4288 Memorial Dr Ste B, Decatur, GA 30032-1229 · (770) 456-5701

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN172317 (GA)
Nurse Practitioner 363L00000XRN172317 (GA)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1467704429

Angel Brown Boulware, FNP-C's National Provider Identifier is 1467704429, issued on Oct 15, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lawrenceville, GA. The record was last updated on Oct 10, 2025.