| Doctor Name: | IVETTE ELIZABETH BOLER |
| NPI Number: | 1063735926 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP 1249762 |
| Business Practice Address: | 1840 Mease Dr Suite 309 Safety Harbor, FL - 346956602 |
| Business Phone Number: | 7272161141 |
| Business Fax Number: | 7277961590 |
| Mailing Address: | 1201 5th Ave N, Suite 505 ST PETERSBURG |
| State: | FL |
| Postal Code: | 337051400 |
| Phone Number: | 7278210017 |
| Fax Number: | 7275028861 |
| NPI Enumeration Date: | 03/08/2010 |
| NPI Last Update Date: | 01/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WX0200X |
| License Number: | ARNP 1249762 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | |