Individual provider · Type 1 NPI

Reilly Autumn Bolin, FNP

Primary Care Nurse Practitioner · Bangor, ME

NPI number 1508693318 Active

Practice location

302 Husson Ave
Bangor, ME 04401-3374

Mailing address

26 Capri St
Brewer, ME 04412-1337

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XCNP251004 (ME)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1508693318

Reilly Autumn Bolin, FNP's National Provider Identifier is 1508693318, issued on Sep 16, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bangor, ME. The record was last updated on Jan 3, 2025.