Individual provider · Type 1 NPI
Matthew Dane Bolton, CNP
Nurse Practitioner · Hattiesburg, MS
Practice location
908 W Pine St
Hattiesburg, MS 39401-4262
Fax (601) 544-3545
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R885021 (MS) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1891163598
Matthew Dane Bolton, CNP's National Provider Identifier is 1891163598, issued on Sep 11, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 19, 2024.