Individual
KATELYN BOLDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
4432 SWENSON ST, HILLIARD, OH 43026-3804
(937) 243-7857
Mailing address
4432 SWENSON ST, HILLIARD, OH 43026-3804
(937) 243-7857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
400921
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
17927
OH
Other
Enumeration date
06/19/2015
Last updated
08/06/2015
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