Haley Bolen, CRNP
Nurse Practitioner, Family in Northport, AL. Individual provider (NPI-1).
NPI number1104416486
StatusActive
Last updated in NPPESJan 21, 2021
Details
- NPI
- 1104416486
- Entity type
- Individual (NPI-1)
- Name
- Haley Bolen
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2021
- Certification date
- Jan 21, 2021
- Last updated
- Jan 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-145272 | AL | Yes |
Practice location
1116 Mitt Lary RdNorthport, AL 35475-4978
Phone 205-556-5634
Mailing address
1116 Mitt Lary RdNorthport, AL 35475-4978
Phone 205-556-5634
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All 61 Family Nurse Practitioner providers in Northport · All 693 providers in Northport
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