Individual
LOUISE M BOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1684 S BROAD ST STE 150, LANSDALE, PA 19446-5422
(215) 361-5020
(215) 362-1195
Mailing address
207 N BROAD ST FL 3, PHILADELPHIA, PA 19107-1500
(215) 361-5020
(215) 362-1195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009611
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024015940004
—
PA
Enumeration date
01/09/2008
Last updated
02/23/2026
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