Bolden, Heather Nicole
Bolden, Heather Nicole is an sole proprietor health care provider with primary practice located at 6600 Van Aalst Blvd Family Medical Home Martin Army Community Hospital, Fort Benning GA 31905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bolden, Heather Nicole can be contacted via phone (762) 408-2705.Contact Information
Primary practice address
6600 Van Aalst Blvd Family Medical Home Martin Army Community Hospital
Fort Benning GA 31905
Phone: (762) 408-2705
Fax: (762) 408-8105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN175548 | Georgia |
Profile Details
| NPI number | 1659655629 |
|---|---|
| LBN Legal business name | Bolden, Heather Nicole |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2011 |
| Last updated | Jan 9th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659655629 | NPPES |
| Georgia | Other | F0911414 | AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION PROGRAM |
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