Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON MARY BOLGER, ATC
Active Sole ProprietorSHANNON MARY BOLGER, ATC is a Student (Health Education/Training) healthcare provider located in MAPLE GLEN, Pennsylvania. NPI 1548615362 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · MAPLE GLEN, PA
Registration Details
- NPI Number
- 1548615362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 29, 2016 (10.273981036013 yrs)
- Last Updated
- Apr 29, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
1700 LUDWELL DRMAPLE GLEN, PA, 190023027Browse PA providers · Browse ZIP 19002
- Phone
- 6107241185
- Primary Specialty
-
Student (Health Education/Training)
390200000X
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.