Individual
KEEMA PETRIA BOLAND-BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4400 W 95TH ST STE 310, OAK LAWN, IL 60453-2660
(708) 684-9230
(708) 684-9231
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-4663
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-027481
IL
Other
Enumeration date
04/12/2021
Last updated
12/14/2023
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