Mary Bolcer
Individual provider Active NPI Licensed Practical Nurse · Flushing, MI
NPI 1942947601 · NPPES record last updated May 15, 2022
Key facts
- NPI
- 1942947601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4704160214 (MI)
- Practice address
- 2521 N Elms Rd
Flushing, MI 48433-9423 - Phone
- (989) 423-0971
- NPI assigned
- May 15, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704160214 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4704160214 | MI | Yes |
Addresses
Primary practice location
2521 N Elms Rd
Flushing, MI 48433-9423
Mailing address
2521 N Elms Rd
Flushing, MI 48433-9423
Other providers in Flushing, MI
- Brooke Blanchard
- Carly Blanchette
- Katharine Blowers
- Dannetta Bluford
- Meghan Marie Bobrowski
- Matthew Boone
- Kathleen Borchardt
- Laura Bouschor
- Alexander Bradley Bowden
- Sarah Elizabeth Bower
All providers in Flushing, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.