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NPI Code Detail

MEDICARE: PAMELA KAY BOLTON APRN

MEDICARE: PAMELA KAY BOLTON APRN
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
1364SX0200XOncology Clinical Nurse SpecialistAPRN1592302FL
2363LF0000XFamily Nurse PractitionerAPRN1592302FL

Other Identifiers

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

General Provider Information

NPI Number : 1801883871
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA KAY BOLTON APRN
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-5333
Fax Number : 239-343-5321
Provider Business Practice Location Address
First Line : 22655 BAYSHORE RD STE 110
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33980-2005
Country : US
Telephone Number : 941-235-4900
Fax Number : 941-235-4901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 06/27/2024

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Directions to “ PAMELA KAY BOLTON APRN” Practice Location

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