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Contact Information

DEIDRA A BOLTON, NP
120 COLONIAL PROMENADE PKWY
ALABASTER, AL35007
 Phone: 205-605-0495
 Fax: 205-605-0493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DEIDRA A BOLTON · (Female)

NPI Number 1609207273
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 12/09/2013
Last updated 12/09/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-073608
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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