Boland, Teresa Marie

Boland, Teresa Marie is an individual health care provider with primary practice located at 1201 1St St S , Winter Haven FL 33880-3904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Boland, Teresa Marie can be contacted via phone (863) 294-7062.

Contact Information

Primary practice address
1201 1St St S Winter Haven FL 33880-3904
Phone: (863) 294-7062
Fax: (863) 294-7064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1838792 Florida

Profile Details

NPI number 1326025826
LBN Legal business name Boland, Teresa Marie
Credentials ARNP LMFT PHDC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Apr 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326025826 NPPES
Florida MEDICAID 1326025826

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