Individual provider · Type 1 NPI
Lisa Bolles, LPN
Licensed Practical Nurse · Newport, AR
NPI number
1013315357
Active
Practice location
210 Third St
Newport, AR 72112-3302
Mailing address
PO Box 1589
Benton, AR 72018-1589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | L041134 (AR) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1013315357
Lisa Bolles, LPN's National Provider Identifier is 1013315357, issued on Dec 19, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Newport, AR. The record was last updated on Dec 19, 2014.