Individual
SARA EMMA BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1302 S ROGERS ST, BLOOMINGTON, IN 47403-4752
(812) 353-3700
Mailing address
3624 E MORNINGSIDE DR, BLOOMINGTON, IN 47408-4334
(623) 552-0375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28243535A
IN
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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