MS. BRANDY A BOLUS LPN
NPI 1285912162
Licensed Practical Nurse in Bay Shore, NY

Active since July 26, 2011
1853 PECK AVE, BAY SHORE, NY 11706(631) 383-8281 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Brandy A Bolus Lpn NPPES

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

MS. BRANDY A BOLUS LPN (NPI 1285912162) is an individual licensed practical nurse in Bay Shore, New York, licensed in New York (10306140) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1285912162
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. BRANDY A BOLUSCredential: LPN
Location Address1853 PECK AVEBay Shore, NY 11706-1522
Mailing Address1853 Peck AveBay Shore, NY 11706-1522 · (631) 383-8281
Sole ProprietorYes
Enumeration DateJuly 26, 2011
NPI 1285912162 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 · 10306140
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.
1853 PECK AVE, Bay Shore, NY 11706

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 Brandy Bolus's NPI number?

The NPI number for Brandy Bolus is 1285912162. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Brandy Bolus located?

Brandy Bolus practices at 1853 Peck Ave, Bay Shore, NY 11706. The listed phone number is (631) 383-8281.

What is Brandy Bolus'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 Brandy Bolus was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.