Nurse Practitioner
LAURA BOLEN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1558879379 · enumerated 2018-01-15 · record updated 2022-10-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 512 PROFESSIONAL WAY, KENDALLVILLE, IN, 46755-2927 (260) 347-8556 Fax (260) 347-8557 Google Maps Apple Maps OpenStreetMap
- Mailing address 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN, 46845-1701 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License 28194100A IN
- Nurse Practitioner 363L00000X · Primary · License 71007911A IN
Published links
In this directory
Locations and evidence
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Practice location
KENDALLVILLE, IN, 467552927
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.