MEDICARE: ALICIA CRITCHER 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
1	363L00000X	Nurse Practitioner	ARNP11026022	FL
2	363LF0000X	Family Nurse Practitioner	APRN11026022	FL

General Provider Information

NPI Number	:	1780372771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA CRITCHER ARNP

Provider Business Mailing Address
First Line	:	1 MEMORIAL MEDICAL PKWY STE 101
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-5979
Country	:	US
Telephone Number	:	386-586-1523
Fax Number	:	386-445-4751

Provider Business Practice Location Address
First Line	:	1 MEMORIAL MEDICAL PKWY STE 101
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-5979
Country	:	US
Telephone Number	:	386-586-1523
Fax Number	:	386-445-4751

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

Provider Enumeration Date	:	04/27/2023
Last Update Date	:	03/10/2025

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Directions to “ ALICIA CRITCHER ARNP” Practice Location

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