Provider Demographics
NPI:1194958728
Name:BOLS MCMURRAY, PATRICIA L (RN)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:L
Last Name:BOLS MCMURRAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:L
Other - Last Name:BOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:CMR 411 BOX 3712
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112-0038
Mailing Address - Country:US
Mailing Address - Phone:49966-283-4727
Mailing Address - Fax:
Practice Address - Street 1:CMR 411 BOX 3712
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112-0038
Practice Address - Country:US
Practice Address - Phone:49966-283-4727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 532465163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse