MRS. BOLIVIA EARLINE WYNN (NPI# 1538606124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538606124 |
| Entity Type | Individual |
| Full Name | MRS. BOLIVIA EARLINE WYNN |
| Credential | RN |
| Practice Address |
5016 14th Ave S Gulfport FL 33707-3625 |
| Practice Telephone | 7277483367 |
| Mailing Telephone | 7277483367 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN9403819 | FL | Nursing Service Providers |
| Street Address |
5016 14TH AVE S |
| City | GULFPORT |
| State | FL |
| Zip Code | 33707-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952952475 | Claudia Bridgett Smith | Registered Nurse | 13628 Huntington Cir, Gulfport, MS 39503-5009 | 2019-09-25 |
| 1336620798 | Olivia Faith Campbell | Registered Nurse | 2617 Demaret Dr, Gulfport, MS 39507-2829 | 2018-08-23 |
| 1285021162 | Eleza Michele Martorana | Registered Nurse | 15336 Lakeview Ct, Gulfport, MS 39503-8296 | 2015-04-19 |
| 1760801583 | Rachel Beth King | Registered Nurse | 1506 Mill Rd, Gulfport, MS 39507-4259 | 2014-04-09 |
| 1447512520 | Mary Elizabeth Sprague | Registered Nurse | 18108 Steamer Way, Gulfport, MS 39503-5244 | 2012-06-13 |
| 1205128725 | Latisha M Fleming | Registered Nurse | 12261 Highway 49 Ste 11, Gulfport, MS 39503-2976 | 2011-05-03 |
| 1275863227 | Jennifer Hurlbert | Registered Nurse | 2226 Switzer Rd, Gulfport, MS 39507-3824 | 2010-01-13 |
| 1336267830 | Clifford Mondell Williams | Registered Nurse | 14301 Swan Ln, Gulfport, MS 39503-8406 | 2007-03-26 |
| 1457958639 | Krysten Vagedes | Registered Nurse | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-01 |
| 1487272415 | Elizabeth Feeney | Registered Nurse | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-07 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.