NPI 1124117122 · live from the CMS NPI Registry
Anjenean Behold Bolster, RN, MSN, PNP
Registered Nurse in Boulder, CO. National Provider Identifier 1124117122, active.
NPI record
| NPI | 1124117122 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 3482 Broadway St, Boulder, CO 80304 |
| Practice phone | 303-413-7527 |
| Mailing address | 3450 Broadway St, Boulder, CO 80304 |
| Enumerated | October 11, 2006 |
| Last updated | November 7, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | APN.0992751-NP (CO) |
| Registered Nurse primary | 163W00000X | RN.1643701 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.