Zhenya E Bolotin CRNP

NPI 1851537534 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1851537534
Gender Female
Enumeration Date 12/30/2008
Last Updated 12/30/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
9122 FRANKFORD AVE
PHILADELPHIA PA, 19114-2860, US
Phone (215) 331-1516
Fax (215) 331-8149
Business Location
101 E OLNEY AVE
SUITE 400
PHILA PA, 19120-2421, US
Phone (215) 254-2630
Fax (215) 254-2599
Toxanomy
Taxonomy Code 363LP0200X
License State Pennsylvania
License Number SP008940
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According to our database, Zhenya E Bolotin CRNP NPI is 1851537534, taxonomy code is 363LP0200X and license number is SP008940, license state is located at Pennsylvania. Zhenya E Bolotin CRNP physically located at 9122 Frankford Ave, Philadelphia PA, 19114-2860. NPI Number Zhenya E Bolotin CRNP has the Individual type.

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1851537534 NPI number is provided on an as is basis without warranty of any kind. 1851537534 is maintained by the National Plan & Provider Enumeration System. The contents of Zhenya E Bolotin CRNP are for informational purposes only.