person
Ms. Mary Kathleen Bolles, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Austin, Texas
NPI 1124037957

Mary Kathleen Bolles is a Psychiatric/Mental Health Nurse Practitioner based in Austin, TX and is specialized in Psychiatric/Mental Health. Mary Kathleen Bolles practices in Austin, TX and has the professional credentials of PMHNP. The NPI Number for Mary Kathleen Bolles is 1124037957 and holds a License No. 13337 (Texas).

The current practice location address for Mary Kathleen Bolles is 3705 Medical Parkway, #450, Austin, TX and can be reached out via phone at 512-306-0061 and via fax at 512-306-0069. You can also correspond with Mary Kathleen Bolles through the mailing address at 3705 MEDICAL PARKWAY #450, AUSTIN, TX - 78705 (mailing address contact number: 512-306-0061).

Location: 3705 Medical Parkway, #450, Austin, TX, 78705
person
Provider Profile Details
NPI Number
1124037957
Provider Name
Mary Kathleen Bolles
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
3705 Medical Parkway, #450, Austin, TX, 78705
Phone Number
512-306-0061
Fax Number
512-306-0069
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3705 Medical Parkway, #450
City
State
Zip
78705
Phone Number
512-306-0061
Fax Number
512-306-0069
person
Provider Business Mailing Address Details
Address
3705 Medical Parkway #450
City
State
Zip
78705
Phone Number
512-306-0061
Fax Number
512-306-0069
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
521247 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
521247 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
13337 (Texas)
Definition
Definition to come...
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