Melanie Renee Bouldwate, is a
Licensed Practical Nurse based in Acworth, Georgia. Melanie Renee Bouldwate is licensed to practice in Florida (license number 5218053) and her current practice location is
500 Sandy Ln Apt 201, Acworth, Georgia. She can be reached at her office (for appointments etc.) via phone at
(121) 575-6190.
NPI number for Melanie Renee Bouldwate is 1033821152 and her current mailing address is 500 Sandy Ln Apt 201, Acworth, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033821152.
Provider's Profile
Full Name | Melanie Renee Bouldwate |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 500 Sandy Ln Apt 201, Acworth, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033821152
- Provider Enumeration Date: 12/20/2022
- Last Update Date: 12/20/2022
Medical Identifiers
Medical identifiers for Melanie Renee Bouldwate such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033821152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 5218053 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melanie Renee Bouldwate is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Melanie Renee Bouldwate, 500 Sandy Ln Apt 201, Acworth, GA 30102-1497 Ph: (121) 575-6190 | Melanie Renee Bouldwate, 500 Sandy Ln Apt 201, Acworth, GA 30102-1497 Ph: (121) 575-6190 |
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