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MICHELLE D BOLYARD, NP – NPI #1316370018
Gerontology

NPI Profile for MICHELLE D BOLYARD in LAGRANGE, IN.

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Contact Information

MICHELLE D BOLYARD, NP
2500 N DETROIT ST
LAGRANGE, IN  46761-1158
 Phone: 260-463-2133
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Gerontology

 363LG0600X 50 Nurse Practitioner
 

Registered Nurse

 163W00000X
Indicates primary specialty

NPI Profile & details for MICHELLE D BOLYARD · (Female)

NPI # 1316370018
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/16/2013
Last updated 06/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 28169140A
  • IN License # 71004680A
  • IN Medicaid 201194780
Hospital affiliation(s)
  • ADAMS MEMORIAL HOSPITAL - (Critical Access)
    1100 MERCER AVE
    DECATUR, IN 46733
  • DUPONT HOSPITAL LLC - (Acute Care)
    2520 E DUPONT RD
    FORT WAYNE, IN 46825
  • LUTHERAN HOSPITAL OF INDIANA - (Acute Care)
    7950 W JEFFERSON BLVD
    FORT WAYNE, IN 46804
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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