Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APN.0010109-NP | CO |
N | 363LP0200X | Nurse Practitioner - Pediatrics | RN177306 | GA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | RN191866 | CO |
NPI | 1003944497 |
---|---|
Provider Name | Colleen B Bolls |
First Address | Boulder, CO 80304-3232 |
Second Address | Aurora, CO 80045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 26/07/2019 |