Individual provider · Type 1 NPI

Mark D. Boldt, NP

Adult Health Nurse Practitioner · St. Paul, MN

NPI number 1922070762 Active

Practice location

2550 University Ave W, Suite 423 South
St. Paul, MN 55114-1052

Call (612) 870-5557 Map

Fax (612) 870-5857

Mailing address

PO Box 14909
Minneapolis, MN 55414-0909

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	R0901701 (MN)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1922070762

Mark D. Boldt, NP's National Provider Identifier is 1922070762, issued on Feb 6, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Paul, MN. The record was last updated on Oct 29, 2007.