Individual
MRS. CARMELA MARIE BOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-5775
Mailing address
325 MAINE STREET, MSO LIBRARY, LAWRENCE, KS 66044
(785) 505-2988
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-83128-031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30005159780001
—
KS
Enumeration date
04/30/2024
Last updated
03/23/2026
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