Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA BOLLE, RN,CNS
Active Sole ProprietorDiabetes Educator Nurse · WILLMAR, MN
Registration Details
- NPI Number
- 1841494556
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2007 (18.853295873588 yrs)
- Last Updated
- Jul 8, 2007
- License
-
128943-5 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 BECKER AVE SWWILLMAR, MN, 562013302Browse MN providers · Browse ZIP 56201
- Phone
- 3202318740
- Fax
- 3202318741
- Primary Specialty
-
Diabetes Educator Nurse
163WD0400X
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.