Brenda Bolden

Individual provider Active NPI Personal Care Attendant · Monroe, LA

NPI 1851031983 · NPPES record last updated Oct 30, 2024

Key facts

NPI
1851031983
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1701 Lamy LN
Monroe, LA 71201-3737
Phone
(318) 329-0240
Fax
(318) 329-0239
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

1701 Lamy LN
Monroe, LA 71201-3737

Mailing address

1701 Lamy LN
Monroe, LA 71201-3737
Phone (318) 329-0240

Other providers in Monroe, LA

All providers in Monroe, LA · Personal Care Attendant in Louisiana

Sources for this page

Verify at the official NPI Registry.