NPI | 1073196648 |
---|---|
Professional Name | STEPHANIE LASHAE BOLDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F09220136) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032681) |
163W00000X Registered Nurse (Licence: OH 283570) | |
Enumeration Date | 2021-05-03 |
Last Update Date | 2025-10-03 |