| 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 | 163W00000X Registered Nurse (Licence: OH 283570) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2022-12-30 |