Adris Bolden, LPN
Licensed Practical Nurse in Plymouth Meeting, PA. Individual provider (NPI-1).
NPI number1154535367
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154535367
- Entity type
- Individual (NPI-1)
- Name
- Adris Bolden
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP34916 | MD | Yes |
Practice location
2250 Hickory RdSuite 240
Plymouth Meeting, PA 19462-1047
Phone 610-834-1122
Mailing address
5180 Boscombe CtFrederick, MD 21703-6850
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