Individual
ELIZABETH BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 525-6650
(509) 522-2349
Mailing address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 525-6650
(509) 522-2349
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60283685
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60283685
WA
Other
Enumeration date
05/10/2010
Last updated
01/02/2024
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