Individual provider · NPI-1

Karlene Natasha Boland, FNP

Nurse Practitioner, Family · Valhalla, NY

NPI number1649053281

StatusActive

Last updated in NPPESAug 17, 2023

Details

NPI: 1649053281
Entity type: Individual (NPI-1)
Name: Karlene Natasha Boland
Credential: FNP
Sex: Female
Sole proprietor: No
Enumeration date: Aug 17, 2023
Certification date: Jun 21, 2023
Last updated: Aug 17, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	352637	NY	Yes

Other names

Karlene Natasha Henriques (Former Name)

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Phone 914-493-8680

Mailing address

1152 Maggie Rd
Newburgh, NY 12550-7034

Phone 917-502-3018

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