IndividualActive
Mark Bolois
NPI 1629505193 · Registered Nurse · Clinton, OH
Provider details
- NPI number
- 1629505193
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 143671 (OH)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
6694 Taylor Rd
Clinton, OH 44216-9201
Phone: (330) 825-5202
Fax: (234) 678-6919
Approximate (ZIP-level) locationGet directions
Mailing address
8350 Shady Lane Dr
Broadview Hts, OH 44147-1638
Registry dates
- Enumerated
- 2017-05-16
- Last updated
- 2019-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.