Individual provider · Type 1 NPI
Raquel Marisol Bolender, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Tacoma, WA
NPI number
1790119675
Active
Practice location
1530 S Union Ave
Tacoma, WA 98405-1954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP60409450 (WA) |
| Pediatric Nurse Practitioner | 363LP0200X | AP60409450 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790119675
Raquel Marisol Bolender, NURSE PRACTITIONER's National Provider Identifier is 1790119675, issued on Aug 27, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tacoma, WA. The record was last updated on Nov 7, 2014.