Individual provider · Type 1 NPI

Augusta Bolwell

Student in an Organized Health Care Education/Training Program · Covina, CA

NPI number 1174990816 Active

Practice location

540 S Eremland Dr
Covina, CA 91723-3186

Other practice locations

  • 1623 Kings Hwy, Brooklyn, NY 11229-1209 · (718) 375-1200

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174990816

Augusta Bolwell's National Provider Identifier is 1174990816, issued on Aug 28, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Covina, CA. The record was last updated on Jul 21, 2022.