Abby Bolanos Cortes, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28212396A Issued in IN

Practice address

3030 Lake Ave Ste 12
Fort Wayne, IN 46805-5428

Phone

(260) 433-9426

Fax

(260) 217-2685

NPI assigned

Feb 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1477208692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LAKE AVE STE 12",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055428",
            "telephone_number": "260-433-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LAKE AVE STE 12",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055428",
            "telephone_number": "260-433-9426",
            "fax_number": "260-217-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS CORTES",
        "first_name": "ABBY",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28212396A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Alison Bojrab, MS,RDN,CD
• Nathan J Bojrab, D.D.S.
• Fred E Bokel, DDS
• Gordon Henry Bokhart, PHARM D.
• James E Bolander, MD
• Victoria Bolden
• Dyllin Nicole Bolen
• Lauren Boles
• Amanda Michelle Bolin, RD
• Pamela L Boling, NP-C

• Registered Nurse in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.