Individual
VANESSA BOLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 OAK ST, GLASTONBURY, CT 06033-2315
(860) 714-9730
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 714-9730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6154
CT
Other
Enumeration date
08/06/2015
Last updated
01/28/2019
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