Healthcare Provider Details

I. General information

NPI: 1831666825
Provider Name (Legal Business Name): KAYLIE TEJEDA DNAP, APRN, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2018
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10524 MOSS PARK RD STE 204-281
ORLANDO FL
32832-5898
US

IV. Provider business mailing address

10524 MOSS PARK RD STE 204-281
ORLANDO FL
32832-5898
US

V. Phone/Fax

Practice location:
  • Phone: 321-418-6017
  • Fax: 321-204-7056
Mailing address:
  • Phone: 321-418-6017
  • Fax: 321-204-7056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11022136
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberNA95001026
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: