Provider Demographics
NPI:1629651732
Name:BOLIN, BRITTANY LEIGH-ANN (RN)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:LEIGH-ANN
Last Name:BOLIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:BOLIN
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:222 BEAUFORT ST NE
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-4476
Mailing Address - Country:US
Mailing Address - Phone:803-394-0878
Mailing Address - Fax:803-576-2880
Practice Address - Street 1:222 BEAUFORT ST NE
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-4476
Practice Address - Country:US
Practice Address - Phone:803-394-0878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251275163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse