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NPI Code Detail

MEDICARE: KYLIE ELIZABETH BARRETT APRN

MEDICARE: KYLIE ELIZABETH BARRETT 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
1363LF0000XFamily Nurse PractitionerAPRN11033950FL

General Provider Information

NPI Number : 1912744236
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE ELIZABETH BARRETT APRN
Provider Business Mailing Address
First Line : 9233 LOST MILL DR
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-2631
Country : US
Telephone Number : 813-469-9410
Fax Number :
Provider Business Practice Location Address
First Line : 8391 OMAHA CIR
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-5157
Country : US
Telephone Number : 352-688-8818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2024
Last Update Date : 07/12/2024

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