Individual
DAVID BOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
RN60258185
WA
363L00000X
Nurse Practitioner
Primary
18988
OH
363LA2200X
Adult Health Nurse Practitioner
AP60258141
WA
363LA2200X
Adult Health Nurse Practitioner
RN.332736-1
OH
Other
Enumeration date
06/19/2010
Last updated
04/06/2023
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