DR. MARIE D BOLIVAR-CANO DNP, ACNP-BC, CEN
NPI 1518903152
Nurse Practitioner in Philadelphia, PA

Active since June 21, 2006
3900 WOODLAND AVE, PHILADELPHIA, PA 19104(215) 823-6004 Get Directions Write a Review

NPPES record last updated: June 3, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Marie D Bolivar-cano Dnp, Acnp-bc, Cen NPPES

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

DR. MARIE D BOLIVAR-CANO DNP, ACNP-BC, CEN (NPI 1518903152) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Virginia (0024172352) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1518903152
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. MARIE D BOLIVAR-CANOCredential: DNP, ACNP-BC, CEN
Location Address3900 WOODLAND AVEPhiladelphia, PA 19104
Mailing Address3900 Woodland AvePhiladelphia, PA 19104-4551
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateJune 3, 2018
✔ NPI 1518903152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024172352
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3900 WOODLAND AVE, Philadelphia, PA 19104

Other Identifiers 4

Medicaid891010870AL
Other1518903152AL · Tricare South
Other515-99504AL · Blue Cross Blue Shield
Medicaid112913AL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
3900 WOODLAND AVE, PADRECC, #127
PHILADELPHIA, PA 19104
Social Worker (Clinical)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Counselor (Addiction (Substance Use Disorder))
3900 WOODLAND AVE, ADDICTION RECOVERY UNIT 7TH FLOOR
PHILADELPHIA, PA 19104
Dietitian, Registered (Nutrition, Gerontological)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Pharmacist (Pharmacotherapy)
3900 WOODLAND AVE, PHARMACY SERVICE #119
PHILADELPHIA, PA 19104
Physical Therapist
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Internal Medicine
3900 WOODLAND AVE
PHILADELPHIA, PA 19104

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 Marie Bolivar-cano's NPI number?

The NPI number for Marie Bolivar-cano is 1518903152. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Marie Bolivar-cano located?

Marie Bolivar-cano practices at 3900 Woodland Ave, Philadelphia, PA 19104. The listed phone number is (215) 823-6004.

What is Marie Bolivar-cano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Marie Bolivar-cano was last updated on June 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.