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General NPI Number Information
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NPI Number | 1063644094
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Entity Type | Individual
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Provider Name | KRISTA KAY NIEVES ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2009
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 14000 S MILITARY TRL STE 208
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City | DELRAY BEACH
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State | FL
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Zip | 33484-2654
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Country | US
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Telephone | 561-563-7110
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Fax |
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Provider Business Mailing Address
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Address Line | 22718 HORSESHOE WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-5505
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Country | US
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Telephone | 561-558-0654
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Fax | 561-892-6332
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP9166150
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9166150
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License Number State | FL
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