Individual
AMY MICHELLE BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Mailing address
4025 MONTEZUMA PL, KETTERING, OH 45440-1125
(937) 901-8832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019339
OH
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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