Healthcare Provider Details

I. General information

NPI: 1710279948
Provider Name (Legal Business Name): KRISTI LYNN DOTTER MSN, FNP-C, NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTI STRONG KRISTI DOTTER RN

II. Dates (important events)

Enumeration Date: 05/05/2011
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 LAKELAND HILLS BLVD
LAKELAND FL
33805
US

IV. Provider business mailing address

1834 MOUNTAIN ASH WAY
NEW PORT RICHEY FL
34655-4149
US

V. Phone/Fax

Practice location:
  • Phone: 407-650-7715
  • Fax:
Mailing address:
  • Phone: 765-491-9052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPRN924415
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9244152
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28160636A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: