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Contact Information

SAYSHA M BOLDEN, AGACNP-BC
400 JOHN DEERE RD BLDG 1
MOLINE, IL61265-6898
 Phone: 309-762-5570
 Fax: 309-762-4514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SAYSHA M BOLDEN · (Female)

NPI Number 1497131304
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 08/03/2015
Last updated 08/03/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IA License # H106686
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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