Mrs Morgan Paige Bolser, NP | |
1818 E Windsor Rd, Urbana, IL 61802-9566 | |
(217) 255-9500 | |
Not Available |
Full Name | Mrs Morgan Paige Bolser |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1818 E Windsor Rd, Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164150561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 209023579 (Illinois) | Primary |
Entity Name | Carle Health Care Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
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Mrs Morgan Paige Bolser, NP 611 W. Park St., Fapc, Urbana, IL 61802 Ph: () - | Mrs Morgan Paige Bolser, NP 1818 E Windsor Rd, Urbana, IL 61802-9566 Ph: (217) 255-9500 |
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