Bolles, Sierra
Bolles, Sierra is an individual health care provider with primary practice located at 3336 South 4155 West #102 , West Valley UT 84120. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bolles, Sierra can be contacted via phone (801) 964-3925.Contact Information
Primary practice address
3336 South 4155 West #102
West Valley UT 84120
Phone: (801) 964-3925
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 10977713-1206 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10977713-1206 | Utah |
Profile Details
| NPI number | 1881178655 |
|---|---|
| LBN Legal business name | Bolles, Sierra |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2018 |
| Last updated | Nov 13th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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