KRISTI BOLEN NPI 1710380555

NPI Information

  • NPI: 1710380555
  • Provider Name: KRISTI BOLEN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30 MEDICAL PARK
    SUITE 200
    WHEELING, WV
    ZIP 26003
  • Phone: (304) 243-8808

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NPI Details

Kristi Bolen is a pediatrics nurse practitioner in Wheeling, WV. Kristi Bolen NPI is 1710380555. 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:

30 MEDICAL PARK
SUITE 200
WHEELING, WV
ZIP 26003-391
Phone: (304) 243-8808
Fax: (304) 243-5113

The NPI 1710380555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/8/2014 and was last updated on 10/8/2014.

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
1363LP0200XNurse PractitionerPediatrics62443WEST VIRGINIAYes

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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