MEDICARE: CAROLYN COHILL APRN, ANP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	ARNP9283275	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255747382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN COHILL APRN, ANP-C

Provider Business Mailing Address
First Line	:	7750 OKEECHOBEE BLVD STE 4-385
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2104
Country	:	US
Telephone Number	:	716-698-8105
Fax Number	:

Provider Business Practice Location Address
First Line	:	4371 VERONICA S SHOEMAKER BLVD
Second Line	:	ATTEN: CREDENTIALING
City	:	FORT MYERS
State	:	FL
Zip	:	33916-2216
Country	:	US
Telephone Number	:	239-432-8515
Fax Number	:	239-278-3350

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2014
Last Update Date	:	08/13/2021

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