Provider Demographics
NPI:1952541989
Name:BOLIA, BARBARA A (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:BOLIA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 355
Mailing Address - Street 2:
Mailing Address - City:NEW CARLISLE
Mailing Address - State:OH
Mailing Address - Zip Code:45344-0355
Mailing Address - Country:US
Mailing Address - Phone:937-242-6391
Mailing Address - Fax:
Practice Address - Street 1:5895 BATSFORD DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-1456
Practice Address - Country:US
Practice Address - Phone:937-433-6883
Practice Address - Fax:937-433-6883
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN046943164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse