Bolyanatz, Marya Mei

Bolyanatz, Marya Mei is an individual health care provider with primary practice located at 1250 Peach Street Suite A, San Luis Obispo CA 93401-2837. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bolyanatz, Marya Mei can be contacted via phone (805) 543-4043.

Contact Information

Primary practice address
1250 Peach Street Suite A San Luis Obispo CA 93401-2837
Phone: (805) 543-4043
Fax: (805) 543-7640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10508 California

Profile Details

NPI number 1164415501
LBN Legal business name Bolyanatz, Marya Mei
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Dec 26th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164415501 NPPES
California Other CB236600 MEDICARE ID

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