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Darlene Boldon, CNA

Nurse's Aide in Austin, TX. Individual provider (NPI-1).

NPI number1457759185
StatusActive
Last updated in NPPESDec 12, 2014

Details

NPI
1457759185
Entity type
Individual (NPI-1)
Name
Ms. Darlene Boldon
Credential
CNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 11, 2014
Last updated
Dec 12, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideNA10082522TXYes
172V00000X Community Health Worker37814IA
376K00000X Nurse's Aide355674014IA
172A00000X Driver35453989TX

Practice location

12435 Dessau Rd
Apt 1121
Austin, TX 78754-1980

Phone 512-905-6083

Mailing address

12435 Dessau Rd
Apt 1121
Austin, TX 78754-1980

Phone 512-905-6083

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