Organization
SHEILA BOLFA PMHNP BC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA BOLFA PMHNP (OWNER PROVIDER)
(337) 849-8282
Entity
Organization
Contact information
Practice address
2520 N UNIVERSITY AVE, LAFAYETTE, LA 70507-5306
(337) 234-5614
Mailing address
128 ODESSA RD, DUSON, LA 70529-4437
(337) 849-8282
(337) 534-0220
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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