Individual provider · Type 1 NPI
Justin Bolin
Diabetes Educator Registered Nurse · St. Louis, MO
NPI number
1225527633
Active
Practice location
615 S New Ballas Rd
St. Louis, MO 63141-8221
Fax (314) 251-4815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 2015024051 (MO) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1225527633
Justin Bolin's National Provider Identifier is 1225527633, issued on May 2, 2018. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in St. Louis, MO. The record was last updated on May 2, 2018.