Laura Bolen
NPI #1558879379 in Kendallville, Indiana
Provider Information
- NPI Number
- 1558879379
- Entity Type
- Individual
- Name
- Laura Bolen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 15, 2018
- Last Updated
- Oct 11, 2022
Practice Location
- Address
- 512 PROFESSIONAL WAY
- City
- Kendallville
- State
- Indiana
- ZIP Code
- 46755-2927
- Phone
- (260) 347-8556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner |
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