Individual
MRS. ANGELA Y BOLGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
121 LANGLEY DR, LAWRENCEVILLE, GA 30046-6930
(770) 685-1300
(770) 685-1311
Mailing address
121 LANGLEY DR, LAWRENCEVILLE, GA 30046-6930
(770) 685-1300
(770) 685-1311
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN200066
GA
363LF0000X
Family Nurse Practitioner
Primary
RN200066
GA
Other
Enumeration date
10/19/2007
Last updated
06/01/2021
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