Adris Bolden LPN

NPI 1154535367 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1154535367
Gender Female
Enumeration Date 05/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2250 HICKORY RD
SUITE 240
PLYMOUTH MEETING PA, 19462-1047, US
Phone (610) 834-1122
Fax
Business Location
5180 BOSCOMBE CT
FREDERICK MD, 21703-6850, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Maryland
License Number LP34916
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According to our database, Adris Bolden LPN NPI is 1154535367, taxonomy code is 164W00000X and license number is LP34916, license state is located at Maryland. Adris Bolden LPN physically located at 2250 Hickory Rd, Plymouth Meeting PA, 19462-1047. NPI Number Adris Bolden LPN has the Individual type.

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1154535367 NPI number is provided on an as is basis without warranty of any kind. 1154535367 is maintained by the National Plan & Provider Enumeration System. The contents of Adris Bolden LPN are for informational purposes only.