Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Matthew Boltz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356031819

Ethan Matthew Boltz is a Student in an Organized Health Care Education/Training Program in Greeley, Colorado. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1140 M St
Greeley, CO 80631-9586
Phone: (970) 347-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1356031819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address1300 N 17th Ave, Greeley, CO 80631-9584

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