Individual
CORNELIA BOLGEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12150 SEMINOLE BLVD, LARGO, FL 33778-2833
(727) 216-6188
(727) 216-6242
Mailing address
14690 SPRING HILL DR STE 305, SPRING HILL, FL 34609-8102
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
337436
NY
363LF0000X
Family Nurse Practitioner
Primary
APRN1669332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YOEW3
BLUE CROSS
—
Enumeration date
08/14/2012
Last updated
05/23/2019
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