MARY ANN BOLKOVATZ CNS NPI 1770509556

NPI Information

NPI: 1770509556
Provider Name: MARY ANN BOLKOVATZ, CNS
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
777 29TH ST
SUITE 401
BOULDER, CO
ZIP 80303
Phone: (303) 261-5037
Get Directions

Mary Ann Bolkovatz, CNS is a psychiatric/mental health and adult clinical nurse specialist in Boulder, CO. Mary Ann Bolkovatz, CNS NPI is 1770509556. 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:

777 29TH ST
SUITE 401
BOULDER, CO
ZIP 80303-358
Phone: (303) 261-5037

The NPI 1770509556 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 7/14/2006 and was last updated on 12/17/2012.

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
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	67698	COLORADO	Yes

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
1	D11515	MEDICARE ID-TYPE UNSPECIFIED	COLORADO
2	P22276	MEDICARE UPIN	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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