MARY ANN BOLYOG FNP-C NPI 1497824379

NPI Information

  • NPI: 1497824379
  • Provider Name: MARY ANN BOLYOG, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 6206 W. BELL ROAD
    #5
    GLENDALE, AZ
    ZIP 85308
  • Phone: (602) 375-5440

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NPI Details

Mary Ann Bolyog, FNP-C is a family nurse practitioner in Glendale, AZ. Mary Ann Bolyog, FNP-C NPI is 1497824379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6206 W. BELL ROAD
#5
GLENDALE, AZ
ZIP 85308
Phone: (602) 375-5440
Fax: (602) 375-5510

The enumeration date for this NPI number is 11/7/2006 and was last updated on 9/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN017541ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
170149MEDICARE UPINARIZONA
2482538MEDICAIDARIZONA
3Z70149MEDICARE PINARIZONA
4S61864MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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