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NPI 1093179228

NPI 1093179228 : KRISTA WHITE APRN : RIVERVIEW, FL

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General NPI Number Information
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    NPI Number           |    1093179228
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTA WHITE APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/13/2016
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    Last Update Date     |    02/09/2026
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Provider Practice Location Address
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    Address Line         |    6338 US HIGHWAY 301 S STE 103 
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    City                 |    RIVERVIEW
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    State                |    FL
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    Zip                  |    33578-3829
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    Country              |    US
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    Telephone            |    813-736-5736
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    Fax                  |    813-706-6580
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Provider Business Mailing Address
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    Address Line         |    1211 TECH BLVD STE 110 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33619-7846
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    Country              |    US
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    Telephone            |    813-736-5736
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    Fax                  |    813-706-6580
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    ARNP3388252
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    APRN3388252
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    License Number State |    FL
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