Bolles-Holder, Mary T.

Bolles-Holder, Mary T. is an individual health care provider with primary practice located at 10330 Meridian Ave N Suite 190, Seattle WA 98133-9451. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Bolles-Holder, Mary T. can be contacted via phone (206) 368-6670.

Contact Information

Primary practice address
10330 Meridian Ave N Suite 190 Seattle WA 98133-9451
Phone: (206) 368-6670
Fax: (206) 368-6171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00089718 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30006303 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP30006303 Washington

Profile Details

NPI number 1962427658
LBN Legal business name Bolles-Holder, Mary T.
Credentials CNM, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Nov 8th, 2019 - about 6 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 1962427658 NPPES
Washington Other 56102U REGENCE BLUESHIELD
Washington MEDICAID 9639014 REGENCE BLUESHIELD
Washington MEDICAID 1962427658 REGENCE BLUESHIELD

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