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NPI Code Detail

MEDICARE: MRS. ADRIANA CRYSTAL KINN ARNP

MEDICARE: MRS. ADRIANA CRYSTAL KINN 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
1363LA2100XAcute Care Nurse PractitionerARNP9167724FL

General Provider Information

NPI Number : 1427199322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ADRIANA CRYSTAL KINN ARNP
Provider Business Mailing Address
First Line : 1575 PINE RIDGE RD
Second Line : SUITE 19
City : NAPLES
State : FL
Zip : 34109-2107
Country : US
Telephone Number : 239-593-0663
Fax Number : 239-593-0664
Provider Business Practice Location Address
First Line : 4513 EXECUTIVE DR STE 101
Second Line :
City : NAPLES
State : FL
Zip : 34119-9033
Country : US
Telephone Number : 239-591-2803
Fax Number : 239-594-5637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 02/05/2019

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