DIANE MARGERY BOLDEN LPN
NPI 1114471232
Licensed Practical Nurse in Watertown, NY

Active since August 05, 2016
411 THOMPSON BLVD, WATERTOWN, NY 13601(315) 489-5463 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Diane Margery Bolden Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE MARGERY BOLDEN LPN (NPI 1114471232) is an individual licensed practical nurse in Watertown, New York, licensed in New York (302276-1) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1114471232
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDIANE MARGERY BOLDENCredential: LPN
Location Address411 THOMPSON BLVDWatertown, NY 13601-4139
Mailing Address411 Thompson BlvdWatertown, NY 13601-4139 · (315) 489-5463
Sole ProprietorYes
Enumeration DateAugust 5, 2016
NPI 1114471232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 302276-1
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

411 THOMPSON BLVD, Watertown, NY 13601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Bolden's NPI number?

The NPI number for Diane Bolden is 1114471232. It was assigned to this individual provider in the NPPES registry on August 5, 2016.

Where is Diane Bolden located?

Diane Bolden practices at 411 Thompson Blvd, Watertown, NY 13601. The listed phone number is (315) 489-5463.

What is Diane Bolden's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Diane Bolden was last updated on August 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.