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ELIZABETH ANN BOLEN NP

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

Registrant NPI Number: 1013450923

Individual Registrant:
 ELIZABETH ANN BOLEN NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
201 OLD HIGHWAY 25 E  COLUMBIANA, AL 35051-9373 US
Tel: 205-612-9916  Fax: --

Contact information for business:
201 OLD HIGHWAY 25 E  COLUMBIANA, AL 35051-9373 US
Tel: (20-5) -612-9915  Fax: --

Registration Information:
NPI: 1013450923
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-120444

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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