Kristen Leann Boldra

Peer Specialist · Jay, OK

Individual Active NPI

NPI number 1104518372

Practice location

1015 W Washbourne St
Jay, OK 74346-4205
Phone
(918) 308-5513
Fax
(918) 253-6645

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NPI record

NPI
1104518372
Entity type
Individual (Type 1)
Enumeration date
May 24, 2023
Last updated
May 24, 2023
Certified
May 24, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

About Kristen Boldra

Kristen Leann Boldra is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1015 W Washbourne St, Jay, OK 74346-4205. The NPI number 1104518372 was assigned on May 24, 2023 and the record was last updated on May 24, 2023.

Frequently asked questions

What is the NPI number of Kristen Leann Boldra?

The NPI number is 1104518372.

What is the phone number of Kristen Boldra?

The phone number listed for the practice location is (918) 308-5513.

Where is Kristen Boldra located?

1015 W Washbourne St, Jay, OK 74346-4205.

What is the taxonomy code for Kristen Boldra?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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