Melanie Renee Bouldwate, - Licensed Practical Nurse in Acworth, GA

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.

Contact Information

Melanie Renee Bouldwate,
500 Sandy Ln Apt 201,
Acworth, GA 30102-1497
(121) 575-6190
Not Available



Provider's Profile

Full NameMelanie Renee Bouldwate
GenderFemale
SpecialityLicensed Practical Nurse
Location500 Sandy Ln Apt 201, Acworth, Georgia
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1033821152NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed 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 AddressPractice 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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› Verified 4 days ago


Licensed Practical Nurse Nurses in Acworth, GA

Ms. Marie J Joseph,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 404 Turtle Rock Pl, Acworth, GA 30101
Phone: 917-716-5490    

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