Individual
ALESHA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
201 E ARIZONA AVE, SWEETWATER, TX 79556-7119
(325) 235-8641
(325) 235-5995
Mailing address
201 E ARIZONA AVE, SWEETWATER, TX 79556-7119
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP129540
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
751131
LICENSE
TX
Enumeration date
11/06/2015
Last updated
02/20/2017
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