Individual provider · Type 1 NPI

Crystal Anne Bolos, FNP-BC

Family Nurse Practitioner · Shelby Township, MI

NPI number 1891447298 Active

Practice location

6300 22 Mile Rd Ste 2
Shelby Township, MI 48317-2106

Call (586) 726-9860 Map

Mailing address

11800 E 12 Mile Rd
Warren, MI 48093-3472

Other practice locations

  • 11800 E 12 Mile Rd, Warren, MI 48093-3472 · (586) 573-5111

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2021100905 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1891447298

Crystal Anne Bolos, FNP-BC's National Provider Identifier is 1891447298, issued on Jan 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shelby Township, MI. The record was last updated on Jan 26, 2022.