Marie D Bolivar-Cano in Philadelphia - Nurse Practitioner
Marie D Bolivar-Cano - NPI 1518903152
Marie D Bolivar-Cano is a Nurse Practitioner in Philadelphia, Pennsylvania. Marie D Bolivar-Cano practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Marie D Bolivar-Cano is 1518903152. The last update date is 2018-06-03.
Marie D Bolivar-Cano's current location address is 3900 Woodland Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158236004. The mailing address for Marie D Bolivar-Cano is 3900 Woodland Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marie D Bolivar-Cano |
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Address | 3900 Woodland Ave, Philadelphia, Pennsylvania |
Phone Number | 2158236004 |
Fax Number | |
Sole Proprietor | N |
Credentials | DNP, ACNP- |
NPI Number Detail
NPI Number | 1518903152 |
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Provider Enumeration Date | 2006-06-21 |
Last Updated Date | 2018-06-03 |
Provider Mailing Address Detail
Address | 3900 Woodland Ave |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 19104 |
Phone Number | 2158236004 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 24172352 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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112913 | AL | -- | |
515-99504 | AL | BLUE CROSS BLUE SHIELD | |
1518903152 | AL | TRICARE SOUTH | |
891010870 | AL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marie D Bolivar-Cano?
The Marie D Bolivar-Cano has been issued the NPI (National Provider Identifier) 1518903152 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Marie D Bolivar-Cano is geographically located?
The Marie D Bolivar-Cano is physically situated at the following location: 3900 Woodland Ave, Philadelphia, PA, 19104.
What is the Marie D Bolivar-Cano's specialty and taxonomy code?
The Marie D Bolivar-Cano's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518903152 to Marie D Bolivar-Cano?
The Centers for Medicare & Medicaid Services originally issued the 1518903152 to Marie D Bolivar-Cano on 2006-06-21.
When was the information pertaining to Marie D Bolivar-Cano most recently updated or revised?
The details related to Marie D Bolivar-Cano, including its address, specialty, and other relevant information, were last updated or revised on 2018-06-03.