Individual
DEREK BOLALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
826 WASHINGTON RD STE 110A, WESTMINSTER, MD 21157-5779
(619) 252-1730
Mailing address
826 WASHINGTON RD STE 110A, WESTMINSTER, MD 21157-5779
(619) 252-1730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R237327
MD
Other
Enumeration date
04/21/2023
Last updated
07/23/2023
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