person
Stephen Bolivar, NP
Family Nurse Practitioner in Laurel, Mississippi
NPI 1598199291

Stephen Bolivar is a Family Nurse Practitioner based in Laurel, MS and is specialized in Family. Stephen Bolivar practices in Laurel, MS and has the professional credentials of NP. The NPI Number for Stephen Bolivar is 1598199291 and holds a License No. R888641 (Mississippi).

The current practice location address for Stephen Bolivar is 235 S 14Th Ave, Laurel, MS and can be reached out via phone at 601-651-2832 and via fax at 601-651-2835.

Location: 235 S 14Th Ave, Laurel, MS, 39440-4227
person
Provider Profile Details
NPI Number
1598199291
Provider Name
Stephen Bolivar
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
235 S 14Th Ave, Laurel, MS, 39440-4227
Phone Number
601-651-2832
Fax Number
601-651-2835
Provider Enumeration Date
08/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07029064 05 MS
institution
Provider Business Practice Location Address Details
Address
235 S 14Th Ave
City
State
Zip
39440-4227
Phone Number
601-651-2832
Fax Number
601-651-2835
person
Provider Business Mailing Address Details
Address
235 S 14Th Ave
City
State
Zip
39440-4227
Phone Number
601-651-2832
Fax Number
601-651-2835
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R888641 (Mississippi)
Definition
Definition to come...
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