Individual
AUTUMN ELIZABETH BOLLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3931 STOCKTON HILL RD, SUITE C, KINGMAN, AZ 86409-2426
(928) 681-6100
(928) 681-6103
Mailing address
3931 STOCKTON HILL RD, SUITE C, KINGMAN, AZ 86409-2426
(928) 681-6100
(928) 681-6103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3270
AZ
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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