Individual
AMANDA ROBERTSON BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7777 HENNESSY BLVD STE 6000, BATON ROUGE, LA 70808-4366
(225) 757-0343
(225) 757-8354
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 757-0343
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143644
LA
363LF0000X
Family Nurse Practitioner
Primary
APO9349
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2452754
—
LA
Enumeration date
05/22/2017
Last updated
10/06/2022
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