TRISHA BOLAND


Address: 133 Center St Unit B2, New Milford, NJ 07646-2653
Phone: 2015220972

TRISHA BOLAND (NPI# 1740830157) 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) 1740830157
Entity Type Individual
Full Name TRISHA BOLAND
Credential APN-C
Practice Address 133 Center St Unit B2
New Milford
NJ 07646-2653
Practice Telephone 2015220972
Mailing Telephone 2015220972
Enumeration Date 2019-09-17
Last Update Date 2019-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
26NJ00957800 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 133 CENTER ST UNIT B2
City NEW MILFORD
State NJ
Zip Code 07646-2653

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City NEW MILFORD
Zip Code 07646

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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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