Individual
ALYSSA BOLDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 COFFEY RD, NEW TAZEWELL, TN 37825-6946
(423) 489-7246
Mailing address
1165 COFFEY RD, NEW TAZEWELL, TN 37825-6946
(423) 489-7246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
35556
TN
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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