Individual
MS. ANDREA HELENE BOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12700 GREEN MEADOW PL, ELM GROVE, WI 53122-1937
(414) 640-2321
Mailing address
12700 GREEN MEADOW PL, ELM GROVE, WI 53122-1937
(414) 640-2321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
153108-30
WI
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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