Provider Demographics
NPI:1326307950
Name:BOLANOS, SHEILA ROLANDA GAMBOA (NP-C, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SHEILA ROLANDA
Middle Name:GAMBOA
Last Name:BOLANOS
Suffix:
Gender:F
Credentials:NP-C, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 HEWETSON CT
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-7401
Mailing Address - Country:US
Mailing Address - Phone:469-638-4278
Mailing Address - Fax:
Practice Address - Street 1:2391 GREENSPRING DR
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-3166
Practice Address - Country:US
Practice Address - Phone:410-847-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2025-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP500002495363LF0000X
CA95016105363LF0000X
MDR255962363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily