Doctor Name: | MRS. ANN M BOLLINGER |
NPI Number: | 1063698793 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | |
Business Practice Address: | 48 Church St Bridgeville, DE - 199331034 |
Business Phone Number: | 3023373469 |
Business Fax Number: | 3023376016 |
Mailing Address: | 20346 Ennis Rd, GEORGETOWN |
State: | DE |
Postal Code: | 199474108 |
Phone Number: | 3028561926 |
Fax Number: | 3028561950 |
NPI Enumeration Date: | 01/11/2008 |
NPI Last Update Date: | 01/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |