Claudine Nicolette Bolsen, PA-C

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

207RE0101X Issued in FL

Practice address

1514 Immokalee Rd Unit 111
Naples, FL 34110-1454

Phone

(239) 431-5339

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1962174151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 3RD AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341192926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 IMMOKALEE RD UNIT 111",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101454",
            "telephone_number": "239-431-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLSEN",
        "first_name": "CLAUDINE",
        "middle_name": "NICOLETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "207RE0101X",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "2083P0901X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larrya Bolden
• Brian Bolin, PT
• Stefan M. Bolin, CRNA
• Katherine Boll, MSW
• Leela R Bolla, MD
• Thomas Trimble Bolton, PA-C
• Jon Edward Bombero, PA
• Lauren Bond
• Andrew Michael Bonett, M.D.
• Bonia Baptiste Adult Family Care Home

• Endocrinology, Diabetes & Metabolism Physician in Naples, FL
• Providers in Naples, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.