Individual
DR. DESTINY BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, RN
Contact information
Practice address
964 HIGH HOUSE RD # 2017, CARY, NC 27513-3574
(504) 345-8657
Mailing address
964 HIGH HOUSE RD # 2017, CARY, NC 27513-3574
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
73285
NE
163WA2000X
Administrator Registered Nurse
263319
NC
163WC0400X
Case Management Registered Nurse
263319
NC
163WC1500X
Community Health Registered Nurse
263319
NC
163WN1003X
Nutrition Support Registered Nurse
263319
NC
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175F00000X
Naturopath
NAT1000727
DC
207Q00000X
Family Medicine Physician
263319
NC
207R00000X
Internal Medicine Physician
Primary
263319
NC
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/18/2011
Last updated
04/18/2022
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