Individual provider · Type 1 NPI
Michael Henry Bolus, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Brooklyn, NY
NPI number
1598041501
Active
Practice location
451 Clarkson Ave
Brooklyn, NY 11203-2054
Mailing address
1113 E 73rd St
Brooklyn, NY 11234-5400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 401420 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1598041501
Michael Henry Bolus, PMHNP's National Provider Identifier is 1598041501, issued on Oct 24, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 24, 2011.