Individual provider · Type 1 NPI
Kristi Bolen
Pediatric Nurse Practitioner · Wheeling, WV
NPI number
1710380555
Active
Practice location
30 Medical Park, Suite 200
Wheeling, WV 26003-6391
Fax (304) 243-5113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 62443 (WV) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1710380555
Kristi Bolen's National Provider Identifier is 1710380555, issued on Oct 8, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Wheeling, WV. The record was last updated on Oct 8, 2014.