Provider Demographics
NPI:1295512283
Name:BOLLINGER, KARI (AGPCNP)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:BOLLINGER
Suffix:
Gender:F
Credentials:AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 6TH ST N
Mailing Address - Street 2:
Mailing Address - City:SWEA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50590-1056
Mailing Address - Country:US
Mailing Address - Phone:515-320-1687
Mailing Address - Fax:
Practice Address - Street 1:105 6TH ST N
Practice Address - Street 2:
Practice Address - City:SWEA CITY
Practice Address - State:IA
Practice Address - Zip Code:50590-1056
Practice Address - Country:US
Practice Address - Phone:515-320-1687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA097609163WG0000X
IAH176701363LG0600X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology