Individual
MRS. KRISTINA MARIE BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PMHNP-S
Contact information
Practice address
3215 N 169TH ST, OMAHA, NE 68116-2650
(402) 210-3264
Mailing address
3215 N 169TH ST, OMAHA, NE 68116-2650
(402) 210-3264
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
75596
NE
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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