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Individual

MS. BRIE DANIELLE BOLGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
969 RUE MADORA, BEAR, DE 19701-2576
(302) 668-8268
Mailing address
969 RUE MADORA, BEAR, DE 19701-2576
(302) 668-8268

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
LG-0000714
DE
363LF0000X
Family Nurse Practitioner
SP012964
PA
363LP2300X
Primary Care Nurse Practitioner
LG-0000714
DE
363LP2300X
Primary Care Nurse Practitioner
Primary
SP012964
PA

Other

Enumeration date
07/13/2013
Last updated
04/27/2015
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