Individual
SAYSHA M. BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
400 JOHN DEERE RD BLDG 1, MOLINE, IL 61265-6898
(309) 762-5570
(309) 762-4514
Mailing address
400 JOHN DEERE RD BLDG 1, MOLINE, IL 61265-6898
(309) 762-5570
(309) 762-4514
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
H106686
IA
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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