Individual
CONNIE J BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(865) 342-8900
Mailing address
10310 STATE LINE RD, SUITE A, LEAWOOD, KS 66206-2658
(913) 647-4101
(913) 647-4121
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
096957
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 1929
MN
Other
Enumeration date
09/26/2006
Last updated
04/19/2017
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