IndividualActive
Andre Bolden
NPI 1093405573 · Home Health Aide · Las Vegas, NV
Provider details
- NPI number
- 1093405573
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
2820 W Charleston Blvd Ste 36
Las Vegas, NV 89102-1934
Phone: (702) 362-0711
Approximate (ZIP-level) locationGet directions
Mailing address
2820 W Charleston Blvd Ste 36
Las Vegas, NV 89102-1934
Registry dates
- Enumerated
- 2023-05-09
- Last updated
- 2023-05-09
- Certified
- 2023-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.