MS. ASHLEY LEINANI BOLAN


Address: 601 E 22nd St Ste C, Vancouver, WA 98663-3208
Phone: 2024248098

MS. ASHLEY LEINANI BOLAN (NPI# 1164967246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164967246
Entity Type Individual
Full Name MS. ASHLEY LEINANI BOLAN
Credential ARNP
Practice Address 601 E 22nd St Ste C
Vancouver
WA 98663-3208
Mailing Address 300 Lenora St # 957
Seattle
WA 98121-2411
Practice Telephone 2024248098
Practice Fax Number 2024248099
Mailing Telephone 2064248098
Mailing Fax Number 2064248099
Enumeration Date 2016-12-28
Last Update Date 2020-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP60862230 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1164967246 05

Office Location

Street Address 601 E 22ND ST STE C
City VANCOUVER
State WA
Zip Code 98663-3208

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1083109755 Kallie A Wikman Physical Therapist 100 E 33rd St Ste 204, Vancouver, WA 98663 2018-06-26
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1699206243 Maggie May Mcgraw Social Worker 410 E 20th Street, Vancouver, WA 98663 2017-03-24
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417423989 Magnolia Psychiatric Services Pllc Nurse Practitioner 10000 Ne 7th Ave Ste 330f, Vancouver, WA 98685-4561 2018-10-22
1811408297 Tms Nw Pllc Nurse Practitioner 5512 Ne 109th Ct Ste N, Vancouver, WA 98662-6175 2017-10-12
1023455938 Adina D Tarpley Nurse Practitioner 7210 Ne 14th Ct, Vancouver, WA 98665-0415 2013-05-31
1346428125 Richard Stuart Keyser Nurse Practitioner 3305 Main St Ste 201, Vancouver, WA 98663-2250 2008-02-04
1407981095 Kim L Carnahan Lewis Nurse Practitioner 1601 E Fourth Plain Blvd Bldg 17, Suite B222, Vancouver, WA 98661-3753 2007-02-22
1750318788 Susan S. Rose Nurse Practitioner Legacy Salmon Creek Providers, 2211 Ne 139th Street, Vancouver, WA 98686-2742 2006-06-26
1073572269 Julie A Dewitt-kamada Nurse Practitioner 3208 Ne 141st St, Vancouver, WA 98686-2260 2006-03-17
1821073081 Janet Nickolaus Nurse Practitioner 2300 E Mill Plain Blvd, Vancouver, WA 98661-4332 2005-12-09
1285233627 Kristy Hosley Nurse Practitioner 5512 Ne 109th Ct Ste I, Vancouver, WA 98662-6175 2020-10-17
1801406020 Paladin Institute for Psychiatric Services Nurse Practitioner 4400 Ne 77th Ave Ste 275, Vancouver, WA 98662-6857 2020-08-03
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Competitor

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City VANCOUVER
Zip Code 98663

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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