Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DIANNA GAIL BOLEN, PA-C
ActiveMS. DIANNA GAIL BOLEN, PA-C is a Physician Assistant healthcare provider located in MEADOW BRIDGE, West Virginia. NPI 1225135536 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MEADOW BRIDGE, WV
Registration Details
- NPI Number
- 1225135536
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2006 (19.878403621084 yrs)
- Last Updated
- Jan 15, 2019
- License
-
1072834 (WV)
Practice Information
- Address
-
8971 SEWELL CREEK ROADMEADOW BRIDGE, WV, 25976Browse WV providers · Browse ZIP 25976
- Phone
- 3044386188
- Fax
- 3044386819
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.