Individual
MARYANNE BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2488 E 81ST ST STE 2000, TULSA, OK 74137-4224
(918) 481-4700
(918) 592-2020
Mailing address
2488 E 81ST ST STE 2000, TULSA, OK 74137-4224
(918) 592-9020
(918) 481-4709
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
98345
OK
Other
Enumeration date
10/15/2015
Last updated
05/09/2025
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