Bolyanatz, Marya Mei
Bolyanatz, Marya Mei is an individual health care provider with primary practice located at 1250 Peach Street Suite A, San Luis Obispo CA 93401-2837. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bolyanatz, Marya Mei can be contacted via phone (805) 543-4043.Contact Information
Primary practice address
1250 Peach Street Suite A
San Luis Obispo CA 93401-2837
Phone: (805) 543-4043
Fax: (805) 543-7640
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 10508 | California |
Profile Details
NPI number | 1164415501 |
---|---|
LBN Legal business name | Bolyanatz, Marya Mei |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2005 |
Last updated | Dec 26th, 2015 - about 9 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 | 1164415501 | NPPES |
California | Other | CB236600 | MEDICARE ID |
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