Individual
CYNTHIA MARY BOLOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
601 E ALTAMONTE DR STE 100, ALTAMONTE SPRINGS, FL 32701-4802
(407) 303-5600
(317) 705-5047
Mailing address
PO BOX 102222, ATTN: CREDENTIALING DEPT., ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9273226
FL
363LA2200X
Adult Health Nurse Practitioner
APRN9273226
FL
363LG0600X
Gerontology Nurse Practitioner
APRN9273226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111345600
—
FL
Enumeration date
05/13/2014
Last updated
10/24/2022
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