Healthcare Provider Details

I. General information

NPI: 1326025826
Provider Name (Legal Business Name): TERESA MARIE BOLAND ARNP, FAARM, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2403 ANTIGUA CIR
COCONUT CREEK FL
33066-1049
US

IV. Provider business mailing address

2403 ANTIGUA CIR
COCONUT CREEK FL
33066-1049
US

V. Phone/Fax

Practice location:
  • Phone: 954-577-0008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP1838792
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT1542
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: