Active NPI 1477871820 Individual Practitioner Female Practitioner

Elizabeth Boland

Nurse Practitioner - Pediatrics • Walla Walla, WA

Professional Overview & Biography Verified Profile Summary

Elizabeth Boland is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Walla Walla, WA. Practice services are available at 1120 W ROSE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 W Rose St

Walla Walla, WA 993621662

Telephone 5095256650

Fax 5095222349

Associated Practice Facility / Clinic

🏢 Yakima Valley Farm Workers Clinic Facility NPI 1700839727

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Walla Walla, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 6.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Walla Walla, WA (508 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-02

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WA AP60283685

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License WA AP60283685

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners

Susan Laabs , RN

Registered Nurse - Community Health

NPI 1023474624

Registered Nurse

Sherry Goff

Registered Nurse - Community Health

NPI 1073926200

Fnu Nisina

Dentist

NPI 1083391684

Erin Fletcher , PA STUDENT

Physician Assistant

NPI 1164195038

PASTUDENT

Dr. Barry Kellogg , MD

Family Medicine

NPI 1164511606

Doctor of Medicine (M.D.)

Bob Daniel

Pharmacist

NPI 1205136579

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2024

Nurse Practitioner (License #AP60283685 in WA)

👤

Provider Name / Credentials Updated March 03, 2021

Recorded as ELIZABETH BOLAND

✅

NPI Profile Active February 12, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 12, 2018

Registered at 1120 W ROSE ST, WALLA WALLA, WA 993621662 (Tel: 5095256650)

📍

Updated Business Mailing Address February 12, 2018

Registered at 1120 W ROSE ST, WALLA WALLA, WA 993621662 (Tel: 5095256650)

👤

Provider Name / Credentials Updated February 12, 2018

Recorded as ELIZABETH BOLAND, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2018

Nurse Practitioner (License #AP60283685 in WA)

✅

NPI Profile Active October 30, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2012

Registered at 1120 W ROSE ST, WALLA WALLA, WA 993621662 (Tel: 5095256650)

📍

Updated Business Mailing Address October 30, 2012

Registered at 1120 W ROSE ST, WALLA WALLA, WA 993621662

👤

Provider Name / Credentials Updated October 30, 2012

Recorded as ELIZABETH BOLAND, CPNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2012

Nurse Practitioner (License #AP60283685 in WA)

🟢

Initial NPI Registration & Enumeration May 10, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477871820

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 10, 2010

Last Update: January 02, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1120 W Rose St

Walla Walla, WA 993621662

Phone: 5095256650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.