MEDICARE: MRS. KERIANE GOLNAR ANGRESS APRN

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	363LA2200X	Adult Health Nurse Practitioner	11042945	FL
2	363LP2300X	Primary Care Nurse Practitioner	11042945	FL
3	363L00000X	Nurse Practitioner	11042945	FL

General Provider Information

NPI Number	:	1780549329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KERIANE GOLNAR ANGRESS APRN

Provider Business Mailing Address
First Line	:	1408 PARK MANOR DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-5736
Country	:	US
Telephone Number	:	305-299-3567
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 N ORLANDO AVE STE 201
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2213
Country	:	US
Telephone Number	:	407-678-3255
Fax Number	:	407-599-5966

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

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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