Individual
LAURA BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HALKET ST, SUITE 0610, PITTSBURGH, PA 15213-3108
(412) 641-1622
Mailing address
401 BROOKSIDE CT, SUITE 0610, SEVEN FIELDS, PA 16046-7901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021753
PA
Other
Enumeration date
05/02/2020
Last updated
05/24/2021
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