LISA MICHELLE BOLTON

BELLEVUE, WA
NPI1699084244
Former NameLISA MICHELLE YOUNG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60466554)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: KY  3015250)
Enumeration Date2010-09-30
Last Update Date2022-01-11
Business Address
Mrs. LISA MICHELLE BOLTON A.P.N.
1035 116TH AVE NE
BELLEVUE, WA 98004-4604
Phone number: 901-896-9898
Mailing Address
Mrs. LISA MICHELLE BOLTON A.P.N.
16044 SE 170TH CT
RENTON, WA 98058-8654
Phone number: 901-896-9898