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NPI Code Detail

MEDICARE: KIRSTEN ROWE ARNP

MEDICARE: KIRSTEN ROWE ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP 3178682FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023349677
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTEN ROWE ARNP
Provider Business Mailing Address
First Line : 600 E. DIXIE AVENUE
Second Line : ATTN: CREDENTIALING
City : LEESBURG
State : FL
Zip : 34748
Country : US
Telephone Number : 352-323-4267
Fax Number : 352-323-5039
Provider Business Practice Location Address
First Line : 5554 CLARCONA OCOEE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32810-4056
Country : US
Telephone Number : 407-292-0292
Fax Number : 407-292-5175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2010
Last Update Date : 05/08/2017

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