Individual
CRYSTAL MARIE BOLSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
550 30TH AVE STE 12, MOLINE, IL 61265-5975
(309) 736-5568
(309) 736-1152
Mailing address
PO BOX 623, WALCOTT, IA 52773-0623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
209031246
IL
363L00000X
Nurse Practitioner
H181589
IA
Other
Enumeration date
10/02/2024
Last updated
02/06/2025
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