Individual
CARLOS RAMON BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7810 PROVIDENCE RD, STE 102, CHARLOTTE, NC 28226-2954
(704) 543-6636
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5008649
NC
363LF0000X
Family Nurse Practitioner
Primary
5008649
NC
Other
Enumeration date
06/22/2016
Last updated
10/18/2024
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