Individual
NOELLE BOLINGBROKE
Active
Individual
NOELLE BOLINGBROKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R209789
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A11031
DE
367H00000X
Anesthesiologist Assistant
L6-0A11031
DE
Other
Enumeration date
01/08/2015
Last updated
04/30/2025
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