Individual
DR. REBECCA L KAHRS BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
951 N WASHINGTON AVE, HOSPITALIST DEPT, TITUSVILLE, FL 32796
(321) 268-6111
Mailing address
805 CENTURY MEDICAL DR STE C, TITUSVILLE, FL 32796-2100
(321) 268-6264
(321) 268-6273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11003234
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11003234
FL
Other
Enumeration date
07/12/2019
Last updated
12/05/2019
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