Individual
CHERYL Y BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
Mailing address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
181199
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
181199
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343731
—
MA
01
—
NP3045
BLUE CROSS
MA
Enumeration date
03/16/2006
Last updated
10/22/2020
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