Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ANN BOLKOVATZ, CNS
Active Sole ProprietorMARY ANN BOLKOVATZ, CNS is a Psychiatric/Mental Health, Geropsychiatric CNS healthcare provider located in BOULDER, Colorado. NPI 1770509556 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Geropsychiatric CNS · BOULDER, CO
Registration Details
- NPI Number
- 1770509556
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2006 (20.054980231279 yrs)
- Last Updated
- Sep 12, 2024
- License
-
67698 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4710 TABLE MESA DR STE BBOULDER, CO, 803054504Browse CO providers · Browse ZIP 80305
- Phone
- 3032615037
- Fax
- 8884660439
- Primary Specialty
-
Psychiatric/Mental Health, Geropsychiatric CNS
364SP0809X
Other Psychiatric/Mental Health, Geropsychiatric CNS Providers in BOULDER, CO
| Name | Credential | NPI |
|---|---|---|
| DAYNA GRANSTON | RN, RXN, CNS, APRN | 1639199235 |
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.