Individual provider · Type 1 NPI
Gordon Bolles, NP
Nurse Practitioner · Buffalo, NY
Practice location
100 High St
Buffalo, NY 14203-1126
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Other practice locations
- 565 Abbott Rd, Buffalo, NY 14220-2095 · (716) 826-7000
- 2605 Harlem Rd, Cheektowaga, NY 14225-4018 · (716) 891-2400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 309573 (NY) |
| Nurse Practitioner Primary | 363L00000X | 309573 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1013538461
Gordon Bolles, NP's National Provider Identifier is 1013538461, issued on Apr 27, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Buffalo, NY. The record was last updated on Jan 21, 2021.