Active NPIIndividual provider

Reilly A Bolin, FNP

Nurse Practitioner, Primary Care in Bangor, Maine

NPI Number1508693318
Practice location
302 Husson Ave, Bangor, ME 04401-3374
Fax
—
Last updated
January 3, 2025

Reilly Autumn Bolin is a Nurse Practitioner, Primary Care based in Bangor, ME. Reilly Autumn Bolin practices in Bangor, ME and has the professional credentials of FNP. The NPI Number for Reilly Autumn Bolin is 1508693318 and holds a License No. CNP251004 (ME). The current practice location address for Reilly Autumn Bolin is 302 Husson Ave, Bangor, ME 04401-3374 and can be reached out via phone at 207-947-6141.

Provider Profile Details

NPI Number
1508693318
Provider Name
Reilly Autumn Bolin
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
302 Husson Ave, Bangor, ME 04401-3374
Phone Number
207-947-6141
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Provider Enumeration Date
September 16, 2024
Last Update Date
January 3, 2025
Certification Date
January 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
302 Husson Ave
Bangor, ME 04401-3374
City
Bangor
State
Maine
Zip
04401-3374
Phone Number
207-947-6141
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
26 Capri St
Brewer, ME 04412-1337
City
Brewer
State
ME
Zip
04412-1337
Phone Number
207-570-0848

License Information

License Number (1)
CNP251004
License State (1)
ME
Taxonomy (1)
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Primary Care providers near Bangor, ME

View all Nurse Practitioner, Primary Care providers in Bangor →

Frequently Asked Questions

What is the NPI number of Reilly A Bolin, FNP?

The NPI number of Reilly A Bolin, FNP is 1508693318. It was assigned on September 16, 2024 and is currently active in the NPPES registry.

What is the specialty of Reilly A Bolin, FNP?

Reilly A Bolin, FNP is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in ME under license number CNP251004.

Where does Reilly A Bolin, FNP practice?

The practice location is 302 Husson Ave, Bangor, ME 04401-3374. The office can be reached at 207-947-6141 (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 1508693318 directly on the NPPES registry website.

Browse related providers