Provider Demographics
NPI:1093990020
Name:BOLTE, LOUISE M (CRNP)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:M
Last Name:BOLTE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:LOUISE
Other - Middle Name:
Other - Last Name:PRESSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 829641
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0001
Mailing Address - Country:US
Mailing Address - Phone:267-370-5295
Mailing Address - Fax:215-230-3725
Practice Address - Street 1:599 W STATE ST STE 200
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2567
Practice Address - Country:US
Practice Address - Phone:267-893-6800
Practice Address - Fax:267-896-6820
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009611363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner