Individual
ELIZABETH MARIE WOLGEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 432-3255
Mailing address
2001 63RD AVE N, ST PETERSBURG, FL 33702-7128
(727) 432-3255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11026192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119175300
—
FL
Enumeration date
02/24/2023
Last updated
02/03/2025
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