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1679056527 NPI number — KIMBERLY J LITWILLER CRNP

NPI Number: 1679056527
Health Care Provider/Practitioner: KIMBERLY J LITWILLER CRNP

Information about “1679056527” NPI (KIMBERLY J LITWILLER CRNP) exists in 1679056527 in HTML format HTML  |  1679056527 in plain Text format TXT  |  1679056527 in PDF (Portable Document Format) PDF  |  1679056527 in an XML format XML  formats.

NPI Number : 1679056527 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679056527",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LITWILLER",
    "FirstName": "KIMBERLY",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FOX",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": "J",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1005 MAR WALT DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WALTON BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32547-6707",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-897-4400",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2001 E HIGHWAY 20",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NICEVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32578-8826",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-897-4400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/06/2018",
    "LastUpdateDate": "09/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "APRN11022617",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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