Individual
KRISTIAUNA LYNN BROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 PROFESSIONAL BLVD, DAYTONA BEACH, FL 32114-3840
(407) 898-2767
Mailing address
100 PROFESSIONAL BLVD, DAYTONA BEACH, FL 32114-3840
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11035049
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11035049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125017200
—
FL
Enumeration date
10/29/2024
Last updated
11/13/2025
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