Provider Demographics
NPI:1194072413
Name:NOLIND, RITA L (APRN, CRNA)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:L
Last Name:NOLIND
Suffix:
Gender:F
Credentials:APRN, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17035 HARVEST MOON WAY
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-2767
Mailing Address - Country:US
Mailing Address - Phone:941-993-8970
Mailing Address - Fax:
Practice Address - Street 1:17035 HARVEST MOON WAY
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-2767
Practice Address - Country:US
Practice Address - Phone:941-993-8970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12-80711-091367500000X
FLARNP9378034367500000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered