MEDICARE: KATHLEEN DEANN SPRINGER

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
1	163W00000X	Registered Nurse	RN9393707	FL

General Provider Information

NPI Number	:	1659238699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN DEANN SPRINGER

Provider Business Mailing Address
First Line	:	862 BROOKVIEW LN
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-4000
Country	:	US
Telephone Number	:	321-269-2028
Fax Number	:

Provider Business Practice Location Address
First Line	:	1855 KNOX MCRAE DR
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32780-5492
Country	:	US
Telephone Number	:	321-269-2028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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Directions to “ KATHLEEN DEANN SPRINGER ” Practice Location

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