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NPI Code Detail

MEDICARE: MS. KIMBERLY DAVIS BRASWELL ARNP

MEDICARE:  MS. KIMBERLY DAVIS BRASWELL  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerARNP3204832FL

General Provider Information

NPI Number : 1215913561
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY DAVIS BRASWELL ARNP
Provider Business Mailing Address
First Line : 16233 NOTTINGHAM PARK WAY
Second Line :
City : TAMPA
State : FL
Zip : 33647-2769
Country : US
Telephone Number : 813-361-3653
Fax Number :
Provider Business Practice Location Address
First Line : 2111 W SWANN AVE
Second Line :
City : TAMPA
State : FL
Zip : 33606-2477
Country : US
Telephone Number : 813-254-7227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 03/25/2013

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Directions to “ MS. KIMBERLY DAVIS BRASWELL ARNP” Practice Location

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