Individual
CYNTHIA KAREN BOLSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
N360540926
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144648171
—
WA
Enumeration date
04/07/2014
Last updated
05/18/2018
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