BREANNA BOLTON
NPI 1659115251
Nurse Practitioner - Family in Redlands, CA

Active since June 20, 2024
226 NORDINA ST, REDLANDS, CA 92373(909) 793-3563 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breanna Bolton NPPES

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

BREANNA BOLTON (NPI 1659115251) is an individual family provider in Redlands, California, licensed in California (95030607) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1659115251
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREANNA BOLTON
Location Address226 NORDINA STRedlands, CA 92373-5206
Mailing Address910 W Fern AveRedlands, CA 92373-5872
Sole ProprietorYes
Enumeration DateJune 20, 2024
NPPES CertifiedJune 20, 2024
NPI 1659115251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95030607
226 NORDINA ST, Redlands, CA 92373

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 Breanna Bolton's NPI number?

The NPI number for Breanna Bolton is 1659115251. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Where is Breanna Bolton located?

Breanna Bolton practices at 226 Nordina St, Redlands, CA 92373. The listed phone number is (909) 793-3563.

What is Breanna Bolton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Breanna Bolton was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.