Individual provider · Type 1 NPI
Amanda Rae Boland
Family Nurse Practitioner · Bronx, NY
NPI number
1700704079
Active
Practice location
111 E 210th St
Bronx, NY 10467-2401
Mailing address
3 Westchester Park Dr Apt 219
West Harrison, NY 10604-3445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 358820 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700704079
Amanda Rae Boland's National Provider Identifier is 1700704079, issued on Jul 6, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Jul 6, 2026.