Individual
ANDREA BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1331 MINNICH RD, NEW HAVEN, IN 46774-2051
(260) 425-5000
(260) 425-5048
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006176A
IN
Other
Enumeration date
01/01/2016
Last updated
10/08/2022
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