Mychelette Bolton
Licensed Practical Nurse in Monroe, LA. Individual provider (NPI-1).
NPI number1902374366
StatusActive
Last updated in NPPESNov 5, 2018
Details
- NPI
- 1902374366
- Entity type
- Individual (NPI-1)
- Name
- Mychelette Bolton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2018
- Last updated
- Nov 5, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 008885121 | LA | Yes |
Practice location
3100 Kilpatrick BlvdMonroe, LA 71201-5156
Phone 318-325-8050
Mailing address
3100 Kilpatrick BlvdMonroe, LA 71201-5156
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Licensed Practical Nurse providers in Monroe · All 4,700 providers in Monroe
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