Individual provider · Type 1 NPI
Kassidy Marie Boliek-Gelb
Pediatric Nurse Practitioner · Tampa, FL
NPI number
1871275826
Active
Practice location
9210 King Palm Dr
Tampa, FL 33619-8332
Mailing address
3407 Gray Whetstone St
Brandon, FL 33511-7792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 11027823 (FL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1871275826
Kassidy Marie Boliek-Gelb's National Provider Identifier is 1871275826, issued on Aug 1, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tampa, FL. The record was last updated on Aug 6, 2026.