Individual
KRISTI BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MEDICAL PARK, SUITE 200, WHEELING, WV 26003-6391
(304) 243-8808
(304) 243-5113
Mailing address
30 MEDICAL PARK, SUITE 200, WHEELING, WV 26003-6391
(304) 243-8808
(304) 243-5113
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
62443
WV
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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