MEDICARE: KATHRYN LYNN TRAMMEL

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	363LF0000X	Family Nurse Practitioner	APRN11042839	FL

General Provider Information

NPI Number	:	1790641199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN LYNN TRAMMEL

Provider Business Mailing Address
First Line	:	4315 W NASSAU ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-4142
Country	:	US
Telephone Number	:	201-543-9555
Fax Number	:

Provider Business Practice Location Address
First Line	:	4315 W NASSAU ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-4142
Country	:	US
Telephone Number	:	201-543-9555
Fax Number	:

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

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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