Individual
NICOLE B BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2349 LAKE AVE STE 100, PLYMOUTH, IN 46563-7836
(574) 948-5100
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-8707
(574) 335-0741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28231971A
IN
363L00000X
Nurse Practitioner
Primary
71009918A
IN
Other
Enumeration date
02/04/2020
Last updated
01/13/2026
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