Individual
ABBY BOLANOS CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
3030 LAKE AVE STE 12, FORT WAYNE, IN 46805-5428
(260) 433-9426
(260) 217-2685
Mailing address
3030 LAKE AVE STE 12, FORT WAYNE, IN 46805-5428
(260) 433-9426
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28212396A
IN
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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