Individual
NILCIA DENISSE BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10203 LOCKWOOD PINES LN, TAMPA, FL 33635-6327
(813) 869-0099
Mailing address
10203 LOCKWOOD PINES LN, TAMPA, FL 33635-6327
(813) 869-0099
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
UNLICENSED
FL
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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