Provider Demographics
NPI:1255747382
Name:COHILL, CAROLYN (APRN, ANP-C)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:COHILL
Suffix:
Gender:F
Credentials:APRN, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7750 OKEECHOBEE BLVD STE 4-385
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2104
Mailing Address - Country:US
Mailing Address - Phone:716-698-8105
Mailing Address - Fax:
Practice Address - Street 1:4371 VERONICA S SHOEMAKER BLVD
Practice Address - Street 2:ATTEN: CREDENTIALING
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-2216
Practice Address - Country:US
Practice Address - Phone:239-432-8515
Practice Address - Fax:239-278-3350
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9283275363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health