Organization
PLB NURSING SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHALAN LARESE BOLDEN NP (FAMILY NURSE PRACTITIONER)
(413) 265-9654
Entity
Organization
Contact information
Practice address
3020 PROSPERITY CHURCH RD STE I, CHARLOTTE, NC 28269-8100
(980) 295-2204
Mailing address
3020 PROSPERITY CHURCH RD STE I, CHARLOTTE, NC 28269-8100
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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