NPI 1033708425 · live from the CMS NPI Registry
Nancy Elizabeth Bolan, RN, FNP, CNM, PhD
Nurse Practitioner, Family in Baltimore, MD. National Provider Identifier 1033708425, active.
NPI record
| NPI | 1033708425 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 655 W Lombard St, Baltimore, MD 21201 |
| Practice phone | 202-699-2511 |
| Mailing address | 50 Parkway W, Mount Vernon, NY 10552 |
| Enumerated | January 11, 2021 |
| Last updated | January 11, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | 428602 (NY) |
| Nurse Practitioner, Family primary | 363LF0000X | F331022 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.