Individual
HEATHER BOLSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNP
Contact information
Practice address
509 W UNIVERSITY AVE, URBANA, IL 61801-1645
(217) 383-6645
Mailing address
611 W PARK ST, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011056
IL
Other
Enumeration date
02/10/2014
Last updated
03/30/2023
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