Roderick Wayne Bollinger, FNP-BC Valid NPI

Individual provider · Family Nurse Practitioner · Sedalia, MO

NPI

1114446028

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

2017032883 (MO)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-09-12

Last updated

2019-02-22