Individual
DR. NANCY ELIZABETH BOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP, CNM, PHD
Contact information
Practice address
655 W LOMBARD ST, BALTIMORE, MD 21201-1512
(202) 699-2511
Mailing address
50 PARKWAY W, MOUNT VERNON, NY 10552-1141
(202) 699-2511
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
428602
NY
363LF0000X
Family Nurse Practitioner
Primary
F331022
NY
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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