Ms. Ryan E Bolton, PA-C
Physician Assistant, Medical in Groton, Connecticut
1063700078- Practice location
- 75 Eastern Point RD, Station A78, Groton, CT 06340-4905
- Phone
- 860-433-5193
- Fax
- —
- Last updated
- July 12, 2011
Ryan Elaine Bolton is a Physician Assistant, Medical based in Groton, CT. Ryan Elaine Bolton practices in Groton, CT and has the professional credentials of PA-C. The NPI Number for Ryan Elaine Bolton is 1063700078 and holds a License No. 2528 (CT). The current practice location address for Ryan Elaine Bolton is 75 Eastern Point RD, Station A78, Groton, CT 06340-4905 and can be reached out via phone at 860-433-5193.
Provider Profile Details
- NPI Number
- 1063700078
- Provider Name
- Ryan Elaine Bolton
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 75 Eastern Point RD, Station A78, Groton, CT 06340-4905
- Phone Number
- 860-433-5193
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- Ms. Elaine Bolton, PA-C (Professional Name)
- Provider Enumeration Date
- July 12, 2011
- Last Update Date
- July 12, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Eastern Point RD
Station A78
Groton, CT 06340-4905 - City
- Groton
- State
- Connecticut
- Zip
- 06340-4905
- Phone Number
- 860-433-5193
Provider Business Mailing Address Details
- Address
- 75 Eastern Point RD
Station A78
Groton, CT 06340-4905 - City
- Groton
- State
- CT
- Zip
- 06340-4905
- Phone Number
- 860-433-5193
License Information
- License Number
- 2528
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Ryan E Bolton, PA-C?
The NPI number of Ms. Ryan E Bolton, PA-C is 1063700078. It was assigned on July 12, 2011 and is currently active in the NPPES registry.
What is the specialty of Ms. Ryan E Bolton, PA-C?
Ms. Ryan E Bolton, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 2528.
Where does Ms. Ryan E Bolton, PA-C practice?
The practice location is 75 Eastern Point RD, Station A78, Groton, CT 06340-4905. The office can be reached at 860-433-5193 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063700078 directly on the NPPES registry website.