Individual
MRS. LISA MICHELLE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(901) 896-9898
Mailing address
16044 SE 170TH CT, RENTON, WA 98058-8654
(901) 896-9898
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3015250
KY
363LF0000X
Family Nurse Practitioner
Primary
AP60466554
WA
Other
Enumeration date
09/30/2010
Last updated
01/11/2022
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