Individual
ANNA DE BOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
82 UINTA WAY APT 301, DENVER, CO 80230-7329
(808) 256-7950
Mailing address
82 UINTA WAY APT 301, DENVER, CO 80230-7329
(808) 256-7950
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
24-537
TX
246ZC0007X
Surgical Assistant
S.A.0003415
CO
363A00000X
Physician Assistant
2755-P.A.
PR
363A00000X
Physician Assistant
Primary
TPPA1135
FL
363AM0700X
Medical Physician Assistant
2755-P.A.
PR
363AS0400X
Surgical Physician Assistant
2755-P.A.
PR
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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