Individual
ELIZABETH ANN BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 OLD HIGHWAY 25 E, COLUMBIANA, AL 35051-9373
(205) 612-9916
Mailing address
201 OLD HIGHWAY 25 E, COLUMBIANA, AL 35051-9373
(205) 612-9915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-120444
AL
Other
Enumeration date
11/24/2016
Last updated
07/21/2022
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