Individual
NANCY STOCKS BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3011
(206) 631-3385
Mailing address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3011
(206) 631-3385
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00153603
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017099
SCHOOL DISTRICT
WA
Enumeration date
08/18/2016
Last updated
08/18/2016
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