Individual
HEIDI BOLISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 MILES ST, GREENFIELD, MA 01301-3241
(413) 774-3321
Mailing address
50 MILES ST, GREENFIELD, MA 01301-3241
(413) 774-3321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN10076
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LN100776
LPN
MA
Enumeration date
10/10/2022
Last updated
10/10/2022
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