MRS. Willie Mary Bolden
NPI #1518428283 in Shaw, Mississippi
Provider Information
- NPI Number
- 1518428283
- Entity Type
- Individual
- Name
- MRS. Willie Mary Bolden
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 26, 2019
- Last Updated
- Mar 26, 2019
Practice Location
- Address
- 112 W PEELER AVE
- City
- Shaw
- State
- Mississippi
- ZIP Code
- 38773-8710
- Phone
- (662) 745-6638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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