Individual
CAROLINE FIELD BOLZENDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 891-6259
Mailing address
15515 NE 25TH AVE, VANCOUVER, WA 98686-1504
(360) 571-9416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
WA AP30003767
WA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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