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Karlene Natasha Boland

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as KARLENE BOLAND.

Based on the most recent information from CMS, provider Karlene Natasha Boland is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1649053281
Provider Type
Individual
Full Name
Boland, Karlene Natasha
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/17/2023
Last Updated
8/17/2023

Contact Information

Practice Location

100 Woods Rd, Valhalla, NY 10595-1530

(914) 493-8680

Unlisted Fax

Mailing Location

1152 Maggie Rd, Newburgh, NY 12550-7034

(917) 502-3018

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 352637 New York

Karlene Natasha Boland

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Hedrick, Jane

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Vigna, Denise

Stanley, Dawn Z

Kelly, Deborah

Lemel, Stella

Raimo, Michelle L.

Cooney, Maureen F