Individual provider · Type 1 NPI

Susan Marie Bollman, CPNP

Pediatric Nurse Practitioner · Indianapolis, IN

NPI number 1992354104 Active

Practice location

1002 Wishard Blvd
Indianapolis, IN 46202-2872

Call (317) 944-4846 Map

Mailing address

PO Box 1026
Indianapolis, IN 46206-1026

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X71009390A (IN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1992354104

Susan Marie Bollman, CPNP's National Provider Identifier is 1992354104, issued on Sep 10, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 11, 2019.