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NPI Code Detail

MEDICARE: KALLIE FRANDSEN RN, MSN

MEDICARE: KALLIE FRANDSEN RN, MSN
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
1163W00000XRegistered NurseRN9658407FL

General Provider Information

NPI Number : 1659230142
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALLIE FRANDSEN RN, MSN
Provider Business Mailing Address
First Line : 1617 S TUTTLE AVE STE 1A
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3132
Country : US
Telephone Number : 941-799-5753
Fax Number : 888-814-0877
Provider Business Practice Location Address
First Line : 1617 S TUTTLE AVE STE 1A
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3132
Country : US
Telephone Number : 941-799-5753
Fax Number : 888-814-0877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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