Healthcare Provider Details

I. General information

NPI: 1902247042
Provider Name (Legal Business Name): ANNA ASHLEY KAIRALLA A.R.N.P.-B.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 FLETCHER DR
GAINESVILLE FL
32611-5413
US

IV. Provider business mailing address

PO BOX 117500
GAINESVILLE FL
32611-7500
US

V. Phone/Fax

Practice location:
  • Phone: 352-392-1161
  • Fax:
Mailing address:
  • Phone: 352-392-1161
  • Fax: 352-392-9625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9263748
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9263748
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: