Emalee K Boldt, LPN
Licensed Practical Nurse in Bradford, PA. Individual provider (NPI-1).
NPI number1164095436
StatusActive
Last updated in NPPESJul 23, 2021
Details
- NPI
- 1164095436
- Entity type
- Individual (NPI-1)
- Name
- Emalee K Boldt
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2021
- Certification date
- Jul 23, 2021
- Last updated
- Jul 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN310075 | PA | Yes |
Practice location
1 Futures WayBradford, PA 16701-1866
Phone 814-368-4101
Mailing address
1 Futures WayBradford, PA 16701-1866
Phone 814-368-4101
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