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NPI Code Detail

MEDICARE: KRISTIAN ADAIR APRN, FNP

MEDICARE:   KRISTIAN  ADAIR  APRN, FNP
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 Practitioner11012757FL

General Provider Information

NPI Number : 1770164899
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIAN ADAIR APRN, FNP
Provider Business Mailing Address
First Line : 808 N FRANKLIN ST UNIT 1115
Second Line :
City : TAMPA
State : FL
Zip : 33602-3818
Country : US
Telephone Number : 239-405-5605
Fax Number :
Provider Business Practice Location Address
First Line : 5033 W LAUREL ST STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33607-3855
Country : US
Telephone Number : 813-922-8939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2021
Last Update Date : 04/20/2021

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Directions to “ KRISTIAN ADAIR APRN, FNP” Practice Location

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