Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HEATHER DIANA BOLTON, PA
ActiveMRS. HEATHER DIANA BOLTON, PA is a Physician Assistant healthcare provider located in LEBANON, Tennessee. NPI 1831133727 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LEBANON, TN
Registration Details
- NPI Number
- 1831133727
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2006 (20.149851802624 yrs)
- Last Updated
- Oct 3, 2007
- License
-
PA1192 (TN)
Practice Information
- Address
-
307 F WEST MAIN STLEBANON, TN, 37087Browse TN providers · Browse ZIP 37087
- Phone
- 6154494151
- Fax
- 6154491994
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LEBANON, TN
| Name | Credential | NPI |
|---|---|---|
| KATRINA MARIE GILL | PA | 1508867706 |
| MRS. KEELY ELAINE METZGER | P.A. | 1063487551 |
| MR. THOMAS HAYES HOLLAND | PA-C | 1952376444 |
| MRS. JENNIFER JACOBSON GOSHOW | PA-C | 1891760872 |
| MR. STEVEN HENRY PACK | PA | 1346351194 |
| SUZANNE M SHIMAITIS | P.A.C. | 1285718874 |
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.