Most Relevant Information
Provider Data
| NPI Number: | 1003016601 |
| Provider Name: | DARCEL DERRI BOLSER APRN, BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | RN 124814 |
Most Important Dates
| Enumeration Date: | 07/20/2007 |
| Last Updated: | 09/30/2024 |
Provider Practice Location
3200 VINE ST
CINCINNATI
OH
452202213
Practice Location Phone/Fax
| Phone: | 5134756524 |
| Fax: | 5134756525 |
Provider Mailing Location
3200 VINE ST
CINCINNATI
OH
452202213
Provider Mailing Phone/Fax
| Phone: | 5134756524 |
| Fax: | 5134756525 |