Healthcare Provider Details

I. General information

NPI: 1780549329
Provider Name (Legal Business Name): KERIANE GOLNAR ANGRESS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 N ORLANDO AVE STE 201
WINTER PARK FL
32789-2213
US

IV. Provider business mailing address

1408 PARK MANOR DR
ORLANDO FL
32825-5736
US

V. Phone/Fax

Practice location:
  • Phone: 407-678-3255
  • Fax: 407-599-5966
Mailing address:
  • Phone: 305-299-3567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number11042945
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11042945
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11042945
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: