Agnes Bolt, PMHNP, RN Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA

NPI

1568336220

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

95037172 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2025-10-03

Last updated

2025-10-03