Stacie Ann Kittman
Individual provider Active NPI Family Nurse Practitioner · Mims, FL
NPI 1124338710 · NPPES record last updated Oct 15, 2010
Key facts
- NPI
- 1124338710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP 9191961 (FL)
- Practice address
- 10381 Air Plant Cir
Mims, FL 32754-6203 - Phone
- (407) 443-4309
- Fax
- (407) 349-5295
- NPI assigned
- Oct 15, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9191961 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9191961 | FL | Yes |
Addresses
Primary practice location
10381 Air Plant Cir
Mims, FL 32754-6203
Mailing address
10381 Air Plant Cir
Mims, FL 32754-6203
Phone (407) 443-4309
Other names
- Ms. Stacie Ann Lindeman
Other providers in Mims, FL
- Ronald A Franco
- Mark Gerstle
- Victoria Haire
- Honorable Hands Services LLC
- Ashley Jordan
- Danielle Lehan
- Mae Saunders LLC
- Mary'S Majestic Medical Wigs
- Kristen McCarthy
- Tyler Melton
All providers in Mims, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.