Healthcare Provider Details

I. General information

NPI: 1912744236
Provider Name (Legal Business Name): KYLIE ELIZABETH BARRETT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2024
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8391 OMAHA CIR
SPRING HILL FL
34606-5157
US

IV. Provider business mailing address

9233 LOST MILL DR
LAND O LAKES FL
34638-2631
US

V. Phone/Fax

Practice location:
  • Phone: 352-688-8818
  • Fax:
Mailing address:
  • Phone: 813-469-9410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11033950
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: