Individual
VICTORIA BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-1000
Mailing address
5913 BELLINGHAM LN, FORT WAYNE, IN 46835-1254
(260) 415-1411
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28251178C
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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