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ADRIENNE BOLAN CPNP-PC
Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1316554181
Individual Registrant: ADRIENNE BOLAN CPNP-PC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
875 FRIENDSHIP RD TALLASSEE, AL 36078-1255 US
Tel: 334-283-3111 Fax: --
Tel: 334-283-3111 Fax: --
Contact information for business:
875 FRIENDSHIP RD TALLASSEE, AL 36078-1255 US
Tel: 334-283-3111 Fax: --
Tel: 334-283-3111 Fax: --
Registration Information:
NPI: 1316554181
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics | AL | 1-155461 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
