Provider Demographics
NPI:1861545147
Name:BOLANTE, ESTHER ANN (MD)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:ANN
Last Name:BOLANTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ESTHER
Other - Middle Name:ANN
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9800 4TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2152
Mailing Address - Country:US
Mailing Address - Phone:206-302-1200
Mailing Address - Fax:206-302-1264
Practice Address - Street 1:9800 4TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2152
Practice Address - Country:US
Practice Address - Phone:206-302-1200
Practice Address - Fax:206-302-1264
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037709208D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice