Individual
MRS. MAYRA BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
(FNP) FAMILY NURSE P
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176
(781) 979-3000
Mailing address
585 LEBANON ST, MELROSE, MA 02176
(781) 979-3000
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2280131
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2280131
MA
Other
Enumeration date
03/27/2019
Last updated
09/08/2020
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