Individual
BRANDI BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
524 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5725
(337) 436-2511
Mailing address
3819 MISTFLOWER DR, CONVERSE, TX 78109-3628
(210) 607-2232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
869251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
N/A
—
Enumeration date
12/09/2022
Last updated
12/09/2022
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