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ADRIENNE BOLAN CPNP-PC

Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1316554181

Individual Registrant:
 ADRIENNE  BOLAN CPNP-PC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
875 FRIENDSHIP RD  TALLASSEE, AL 36078-1255 US
Tel: 334-283-3111  Fax: --

Contact information for business:
875 FRIENDSHIP RD  TALLASSEE, AL 36078-1255 US
Tel: 334-283-3111  Fax: --

Registration Information:
NPI: 1316554181
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
AL1-155461

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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