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Individual

KATHLYNN ATWATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
811 S PARSONS AVE, BRANDON, FL 33511-6063
(813) 685-4553
(813) 681-1191
Mailing address
PO BOX 25437, TAMPA, FL 33622-5437
(813) 854-2003
(813) 855-3765

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP2531632
FL

Other

Enumeration date
11/02/2007
Last updated
11/02/2007
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