Individual
IVETTE ELIZABETH BOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1840 MEASE DR, SUITE 309, SAFETY HARBOR, FL 34695-6602
(727) 216-1141
(727) 796-1590
Mailing address
1201 5TH AVE N, SUITE 505, ST PETERSBURG, FL 33705-1400
(727) 821-0017
(727) 502-8861
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
ARNP 1249762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002116000
—
FL
01
—
Y03YY
BLUE CROSS / BLUE SHIELD
—
Enumeration date
03/08/2010
Last updated
01/05/2011
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