Individual
KAITLYN RECHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4202 E FOWLER AVE STOP SHS100, TAMPA, FL 33620
(813) 974-2331
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9478165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100797900
—
FL
01
—
RPFM8
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/18/2015
Last updated
01/04/2024
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