Individual
PAMELA JEWEL BOLTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3219 CLIFTON AVE, SUITE 105, CINCINNATI, OH 45220-3027
(513) 861-5555
(513) 861-6980
Mailing address
3219 CLIFTON AVE, SUITE 105, CINCINNATI, OH 45220-3027
(513) 861-5555
(513) 861-6980
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
39848
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
NP-08040
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2535877
—
OH
05
—
78904109
—
KY
Enumeration date
07/05/2005
Last updated
07/09/2007
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