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NPI Code Detail

MEDICARE: KRISTEN ANNE NUTTER APRN

MEDICARE: KRISTEN ANNE NUTTER APRN
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 PractitionerAPRN11009048FL

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 : 1275149916
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN ANNE NUTTER APRN
Provider Business Mailing Address
First Line : 5350 SPRING HILL DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-4562
Country : US
Telephone Number : 352-277-5348
Fax Number : 352-606-2857
Provider Business Practice Location Address
First Line : 3021 COMMERCIAL WAY
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-3300
Country : US
Telephone Number : 352-688-3379
Fax Number : 352-398-1333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2020
Last Update Date : 04/13/2026

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