Individual
ANNALISE BOLYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
455 PARK VIEW LOOP, TWIN FALLS, ID 83301-3393
(208) 421-4391
Mailing address
553 EAST RD, JEROME, ID 83338-5645
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
59972
ID
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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