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Individual

MICHELLE D BOLYARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6481
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28169140A
IN
363L00000X
Nurse Practitioner
Primary
71004680A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71004680A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201194780
IN
Enumeration date
08/16/2013
Last updated
07/02/2026
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