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Contact Information

HALEY BOLEN, CRNP
1116 MITT LARY RD
NORTHPORT, AL35475-4978
 Phone: 205-556-5634
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HALEY BOLEN · (Female)

NPI Number 1104416486
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 01/21/2021
Last updated 01/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-145272
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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