Individual
BRITNI BOLSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, MN, RN, PHN
Contact information
Practice address
675 PONCE DE LEON AVE NE UNIT W731, ATLANTA, GA 30308-1898
(952) 237-8386
Mailing address
675 PONCE DE LEON AVE NE UNIT W731, ATLANTA, GA 30308-1898
(952) 237-8386
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
2185800
MN
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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