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General NPI Number Information
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NPI Number | 1699441725
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Entity Type | Individual
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Provider Name | KRISTI A MYERS RN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 755 GRAND BLVD
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-1838
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Country | US
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Telephone | 919-605-6309
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 ABBOTSFORD WAY
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City | TALLAHASSEE
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State | FL
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Zip | 32312-2801
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Country | US
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Telephone | 919-605-6309
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Fax |
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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 | RN9389545
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License Number State | FL
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