Individual
DENISE DIANE BOELENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1100 36TH AVENUE, MOLINE, IL 61265
(309) 743-6700
(309) 764-2042
Mailing address
1100 36TH AVE, MOLINE, IL 61265-7127
(309) 743-6700
(309) 764-2042
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
L113147
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04620
WELLMARK BCBS OF IA
IA
01
—
P00284214
MEDICARE RAILROAD
—
Enumeration date
08/30/2006
Last updated
06/12/2025
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