MARCIA LYNNE BOLL CNP
NPI 1861944753
Nurse Practitioner - Family in Howard Lake, MN
Active since October 26, 2016
About Marcia Lynne Boll Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARCIA LYNNE BOLL CNP (NPI 1861944753) is an individual family provider in Howard Lake, Minnesota, licensed in Minnesota (R-124514-9) and active in the NPI registry since October 2016.
NPPES Registry Identity
NPI1861944753
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARCIA LYNNE BOLLCredential: CNP
Location Address8399 72ND ST SWHoward Lake, MN 55349-5412
Mailing Address8399 72nd St SwHoward Lake, MN 55349-5412 · (612) 314-0418
Phone(612) 314-0418
Sole ProprietorNo
Enumeration DateOctober 26, 2016
Last NPPES UpdateJanuary 6, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2024
✔ NPI 1861944753 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
Licenses✔ Licensed in MN · R-124514-9✔ Licensed in MN · 4816
8399 72ND ST SW, Howard Lake, MN 55349
Other Names 1
Former Name (1)Marcia Lynne Dally
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861944753, enumerated as an "individual" on October 26, 2016.
The provider is located at 8399 72ND ST SW HOWARD LAKE, MN 55349 and the phone number is (612) 314-0418.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
