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Individual

KRISTEN TAYLOR RAINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3150 N WICKHAM RD, MELBOURNE, FL 32935-2363
(321) 775-3334
Mailing address
2346 RAMSEY RD SE, PALM BAY, FL 32909-6223
(860) 559-1561

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11021636
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
11021636
FL

Other

Enumeration date
09/08/2022
Last updated
03/12/2026
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