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Diane Watson Boicourt, APRN FNP-BC

Nurse Practitioner, Family in Shelby, NC. Individual provider (NPI-1).

NPI number1366089112
StatusActive
Last updated in NPPESJul 10, 2024

Details

NPI
1366089112
Entity type
Individual (NPI-1)
Name
Diane Watson Boicourt
Credential
APRN FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Nov 27, 2019
Certification date
Jul 10, 2024
Last updated
Jul 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family5019833NCYes
363LF0000X Nurse Practitioner, Family11005221FL

Practice location

1010 E Dixon Blvd # B
Shelby, NC 28152-6838

Phone 980-487-2900

Mailing address

2242 Emerald Mine Rd
Shelby, NC 28152-8674

Phone 407-314-9429

Other practice locations

1360 Saxon Blvd
Orange City, FL 32763-8416

Phone 386-917-0074

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Other Family Nurse Practitioner providers in Shelby, NC

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