Anjenean Behold Bolster, RN, MSN, PNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.1643701 Issued in CO

Practice address

3482 Broadway St
Boulder, CO 80304-1824

Phone

(303) 413-7527

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1124117122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041824",
            "telephone_number": "303-413-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3482 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041824",
            "telephone_number": "303-413-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLSTER",
        "first_name": "ANJENEAN",
        "middle_name": "BEHOLD",
        "credential": "RN, MSN, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "APN.0992751-NP",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1643701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizette Bolanos-Nauth, OTR/L
• Anne Bolgert
• Mary Ann Bolkovatz, CNS
• Michael A Bollenbacher, O.D.
• Judith Bolles, P.T.
• Elizabeth Bolton, BS, MS, LMT
• Beverly Ann Bomhoff, MSW/LCSW
• David Bonaiuto
• Rachael L Bonaiuto, LPC, BC-DMT
• Andrea Bond, CMT

• Registered Nurse in Boulder, CO
• Providers in Boulder, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.