Individual
HALEY BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
875 GREENLAND RD UNIT C4, PORTSMOUTH, NH 03801-4163
(603) 431-5529
(603) 436-6603
Mailing address
875 GREENLAND RD, UNIT C4, PORTSMOUTH, NH 03801-4163
(603) 244-9720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1136
NH
363A00000X
Physician Assistant
2738
CT
363A00000X
Physician Assistant
PA4118
MA
Other
Enumeration date
01/26/2011
Last updated
03/15/2016
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