Individual
ANGELA CHRISTINE BOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1525 W 5TH ST, STORM LAKE, IA 50588-3027
(573) 686-5550
Mailing address
2511 N WESTWOOD BLVD STE B, POPLAR BLUFF, MO 63901-2303
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
127615
IA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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